Evidence map›Paper›PMID 30755953›Full record

ArticleEuropean journal of case reports in internal medicine2017

Chronic Mercury Intoxication Masquerading as Systemic Disease: A Case Report and Review of the Literature.

Alexandre Malek, Krystel Aouad, Rana El Khoury, Maya Halabi-Tawil, Jacques Choucair

Open access · goldAbstract read
In one paragraph

Article in European journal of case reports in internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Climate Change and Zoonotic Disease Outbreaks: Emerging Evidence from Epidemiology and Toxicology.International journal of environmental research and public health · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Immune-associated neuromyotonia syndrome following mercury poisoning.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  8. Health Studies in the Context of Artisanal and Small-Scale Mining: A Scoping Review.International journal of environmental research and public health · 2021
    Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Alexandre MalekInfectious Diseases Department, Saint Joseph University, Faculty of Medicine/Hotel Dieu De France Hospital, Beyrouth, Lebanon.
Krystel AouadInternal Medicine, Saint Joseph University, Faculty of Medicine/Hotel Dieu De France Hospital, Beyrouth, Lebanon.
Rana El KhouryDermatology Department, Saint Joseph University, Faculty of Medicine/Hotel Dieu De France Hospital, Beyrouth, Lebanon.
Maya Halabi-TawilDermatology Department, Saint Joseph University, Faculty of Medicine/Hotel Dieu De France Hospital, Beyrouth, Lebanon.
Jacques ChoucairInfectious Diseases Department, Saint Joseph University, Faculty of Medicine/Hotel Dieu De France Hospital, Beyrouth, Lebanon.
Hôtel-Dieu de Paris · FRSaint Joseph University · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMercury is a highly toxic environmental metal that exists in three different forms: elemental, inorganic and organic. Intoxication occurs in either occupational or non-occupational settings, mainly after the inhalation of vapour and fumes in work places, laboratories or homes. Chronic mercury toxicity ranges from mild and insignificant to severe and life-threatening. We describe the case of a young male patient who presented with multiple organ dysfunction after chronic mercury exposure. CASE PRESENTATION: We report the case of 28-year-old male artisanal gold miner who was admitted to hospital for severe neurological impairment associated with inflammatory bowel disease-like symptoms and a skin rash after mercury exposure. Symptomatic treatment and corticosteroid administration assured rapid clinical improvement. Chronic mercury poisoning can masquerade as an autoimmune or systemic inflammatory disease.

conclusionPhysicians should be aware that low exposure to mercury, even from artisanal gold mining, may be harmful to health. Management can be simple without the need for aggressive or invasive therapeutic measures. Larger case series are required in order to establish a clear management plan. LEARNING POINTS: Mercury intoxication has a wide the variety of clinical manifestations that may involve the neurological, gastrointestinal and dermatological systems.Therefore, it can mimic degenerative neurological conditions, autoimmune diseases, as well as metabolic and mitochondrial disorders.Once diagnosed, mercury intoxication is easily treated.

Indexed as

chronic Intoxicationheavy metalinflammatory diseaseMercury

Identifiers

PMID30755953
PMCPMC6346794
OpenAlexW2620039461

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.