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Chronic arsenicism from Chinese herbal medicine
N Michelle Hanjani1, Anne B Fender, Mary Gail Mercurio
1Department Department of Dermatology, Columbia University, College of Physicians and Surgeons, New York, NY 10032, USA. nh2208@columbia.edu
Cutis
|November 28, 2007
Summary
Chronic arsenicism causes skin problems like keratoses and pigment changes. This case highlights arsenic toxicity from Chinese herbal medicine, leading to these symptoms.
Area of Science:
- Dermatology
- Toxicology
- Internal Medicine
Background:
- Chronic arsenicism is a condition linked to arsenic exposure.
- Cutaneous manifestations are common, including palmoplantar keratoses, pigmentary anomalies, and skin cancer.
- Exposure routes include contaminated water, occupational contact, and medicinal use.
Observation:
- A case study of a Chinese woman residing in the United States is presented.
- The patient had a 5-year history of ingesting Chinese herbal medicine.
- She exhibited characteristic cutaneous manifestations of chronic arsenicism.
Findings:
- The patient's symptoms were attributed to chronic arsenicism.
- The source of arsenic exposure was identified as Chinese herbal medicine.
- This case underscores the potential for arsenic toxicity from alternative medicine sources.
Implications:
- Highlights the importance of considering herbal medicine as a source of arsenic toxicity.
- Emphasizes the need for thorough patient history, including alternative medicine use, in diagnosing arsenicism.
- Suggests a need for regulation and quality control of herbal products to prevent arsenic contamination.