Table 3.
Signs of thallium poisoning detected at admission or during hospital stay
Signs | Case no. | n | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ||
Skin, hair, and nails | |||||||||||
Alopecia | ● | ● | ● | ● | ● | ● | ● | 7 | |||
Loss of lateral third of eyebrows | ● | ● | ● | ● | 4 | ||||||
Acne | ● | 1 | |||||||||
Hair discoloration | ● | ● | ● | ● | 4 | ||||||
Dry skin | ● | 1 | |||||||||
Scaling of palms and soles | ● | ● | ● | ● | ● | ● | ● | 7 | |||
Mees lines | ● | 1 | |||||||||
Eczematous lesions | ● | ● | ● | ● | 4 | ||||||
Gastroenterological | |||||||||||
Glossitis | ● | 1 | |||||||||
Stomatitis | ● | 1 | |||||||||
Abdominal tenderness | ● | ǂ | ● | ● | ● | ● | ● | ● | 7 | ||
Abdominal guarding | ● | ● | 2 | ||||||||
Hyperactive bowel sounds | ● | 1 | |||||||||
Neurological | |||||||||||
Ptosis | ǂ | ǂ | ● | ● | ● | ● | 4 | ||||
Abnormal neurological examination | ● | ● | ● | ● | ● | ● | ● | ● | 8 | ||
Abnormal power | ● | ● | ● | ● | ● | ● | ● | ● | 8 | ||
Muscle power | 3/5 | 1/5 | ǂ | ǂ | ǂ | 3/5 | 4/5 | 5/5 | ǂ | 5/5 | |
Impaired proprioception | ǂ | ǂ | ● | ● | ● | ● | 4 | ||||
Impaired pin-prick sensation | ǂ | ǂ | ● | ● | ● | ● | 4 | ||||
Impaired fine touch sensation | ǂ | ǂ | ● | ● | ● | ● | 4 | ||||
Abnormal reflexes | ● | ● | ● | ● | ● | ● | ● | 7 | |||
Deep tendon reflexes | ↓ | ↓ | ↓ | ↓ | ↓ | ↓ | ↔ | ↔ | ↓ | ↔ |
● Developed the sign, ǂ could not be assessed, ↓ decreased reflexes, ↔ normal reflexes