T57.0X4

Clinical Causes: Consumption of contaminated water or food containing arsenic. Inhalation of arsenic vapors from occupational settings such as mining or pesticide manufacturing. Use of arsenic-containing traditional medicines or herbal remedies. Accidental ingestion of arsenic-containing substances. Environmental contamination due to industrial waste or improper disposal of arsenic compounds.

Key Symptoms: Gastrointestinal distress, such as nausea, vomiting, abdominal pain, and diarrhea. Skin changes, including pigmentation and hyperkeratosis. Neurological symptoms like headaches, dizziness, or peripheral neuropathy. Muscle weakness and fatigue. Cardiovascular symptoms such as irregular heartbeat or hypotension in severe cases. Signs of organ damage in prolonged or high-level exposure, including liver and kidney dysfunction.

Diagnosis Path: Diagnosis typically involves a comprehensive assessment, including detailed history of exposure, physical examination, and laboratory tests. Blood and urine tests can detect elevated levels of arsenic or its metabolites, supporting the diagnosis. In some cases, skin biopsies or imaging studies may be recommended to evaluate organ damage or skin changes. Since the classification is undetermined, the exact source and severity are identified through clinical judgment and laboratory analysis.

Treatment Protocols: Immediate removal from the source of arsenic exposure. Use of chelating agents such as dimercaprol (British Anti-Lewisite) or dimercaptosuccinic acid (DMSA) to bind arsenic and facilitate its elimination. Supportive care, including hydration and symptomatic treatment for gastrointestinal or neurological symptoms. Monitoring organ function and providing appropriate interventions if organ damage is detected. Long-term follow-up for neurological or dermatological effects associated with arsenic poisoning.