Case Contents

Goals and Objectives

Case Study, Pretest

Biologic Indicators

Case Study (Continued)

Exposure-Disease Model

Susceptible Host

Sources of Exposure

Medical Evaluation

Health Interventions

Case Studies (CSEM)

Continuing Education

Online Registration

Lead

Pb/As/Cd/Cr Interaction

Pb/Mn/Zn/Cu Interaction

Pb/Chlorpyrifos/Hg/Me-Hg

ToxFAQs™: Lead

Toxguide: Lead Lead Toxguide: PDF Version

Lead Toxguide: PDF Version

Tox Profile: Lead

Mercury

Breast Milk: Methyl Hg

Fish: Methyl Mercury

Medical Guidelines - Hg

Metallic Mercury

Pb/Chlorpyrifos/Hg/Me-Hg

ToxFAQs™ - Mercury

Tox Profile - Mercury

ATSDR Resources

Case Studies (CSEM)

Exposure Pathways

Health Assessments

Health Statements

Interaction Profiles

Interactive Learning

Managing Incidents

Medical Guidelines

Minimal Risk Levels

ToxFAQs™ CABS

Toxicological Profiles

Toxicology Curriculum

External Resources

Agency for Toxic Substances and Disease Registry
Case Studies in Environmental Medicine (CSEM)

Pediatric Environmental Health
Clinical Characteristics of Acrodynia

Table 1. Clinical Characteristics of Acrodynia

System	Characteristic
Central nervous system	Irritability Extreme photophobia (patient burrows head or covers eyes to block out light)
Cardiovascular	Hypertension Tachycardia
Gastrointestinal	Stomatitis with anorexia Colitis with diarrhea or constipation Salivation
Renal	Proteinuria Nephrotic syndrome progressing to renal failure in extreme cases
Dermal	Erythema of the palms, soles, and face Edema and desquamation of the skin of hands and feet Pruritus
Muscular/Skeletal	Hypotonia
Various	Gingivitis Diaphoresis Paresthesia Generalized pain

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Revised 2002-07-30.