Along with global environmental pollution resulting from economic development, heavy metal poisoning in children has become an increasingly serious health problem in the world. It can lead to renal injury, which tends to be misdiagnosed due to the lack of obvious or specific early clinical manifestations in children. Early prevention, diagnosis and intervention are valuable for the recovery of renal function and children's good health and growth. This paper reviews the mechanism of renal injury caused by heavy metal poisoning in children, as well as the clinical manifestations, diagnosis, and prevention and treatment of renal injury caused by lead, mercury, cadmium, and chromium.
Cadmium Poisoning ; Child ; Chromium ; poisoning ; Heavy Metal Poisoning ; Humans ; Kidney Diseases ; chemically induced ; Lead Poisoning ; Mercury Poisoning ; Poisoning ; complications

We performed computed tomography (CT) of the nose and paranasal sinuses in 21 patients with chromium induced septal perforation or thinning. Twenty patients showed various magnitudes of septal perforation. Twelve of 20 had perforation at the mid portion of the cartilaginous nasal septum. One patient had a sheet-like thinning of septal cartilage. Sixteen patients had mucosal thinning of the nasal conchas. In most cases, unilateral involvement of the inferior concha was seen. Eleven of 21 cases showed paranasal sinus mucosal thickening and one patient had a cyst or polyp in the sinus cavity. The main finding was nodular thickening of mucosa. Septal perforation by inhalation of chromic acid was located in the cartilaginous septum and there was no destruction of the bony septum and wall of the sinuses.
Adult ; Chromium/*poisoning ; Human ; Male ; Middle Age ; Nose/*radiography ; Paranasal Sinuses/*radiography ; Support, Non-U.S. Gov't ; *Tomography, X-Ray Computed

We performed computed tomography (CT) of the nose and paranasal sinuses in 21 patients with chromium induced septal perforation or thinning. Twenty patients showed various magnitudes of septal perforation. Twelve of 20 had perforation at the mid portion of the cartilaginous nasal septum. One patient had a sheet-like thinning of septal cartilage. Sixteen patients had mucosal thinning of the nasal conchas. In most cases, unilateral involvement of the inferior concha was seen. Eleven of 21 cases showed paranasal sinus mucosal thickening and one patient had a cyst or polyp in the sinus cavity. The main finding was nodular thickening of mucosa. Septal perforation by inhalation of chromic acid was located in the cartilaginous septum and there was no destruction of the bony septum and wall of the sinuses.
Adult ; Chromium/*poisoning ; Human ; Male ; Middle Age ; Nose/*radiography ; Paranasal Sinuses/*radiography ; Support, Non-U.S. Gov't ; *Tomography, X-Ray Computed

Soluble compounds of chromium are widely used in industrial processes, including printing, photography, pyrotechnics, dyeing, electroplating, aircraft, shipbuilding, and leather tanning. Exposure in industry is generally via the inhalation of dusts and fumes. Ingestion of chromium (chromate or dichromate salt) has occurred accidentally in suicide attempts and during drug experimentation and may causes ulceration of the bowel, diarrhea, hemorrhagic diathesis, acute renal failure, and hepatic damage. Ingestion of hexavalent chromium com-pounds is considered to be one hundred times more toxic than the trivalent compounds. Chromium poisoning in children is an uncommon, potentially lethal form of poisoning which could possibly increase in incidence because of the resumed greater domestic distribution of dichromate in Korea. We report a case of ammonium dichromate inges-tion by a child that resulted in a healthy discharge.
Acute Kidney Injury ; Aircraft ; Ammonium Compounds* ; Child ; Chromates ; Chromium ; Diarrhea ; Dust ; Eating ; Electroplating ; Hemorrhagic Disorders ; Humans ; Incidence ; Inhalation ; Korea ; Photography ; Poisoning* ; Suicide ; Tanning ; Triacetoneamine-N-Oxyl ; Ulcer

Heavy metals are distributed in the environment ubiquitously. Metals are widely used in various industries, because of which have characteristics of marked malleability and ductility. Workers are exposed to metals through inhalation in industry, while the general population who has not been exposed to metals occupationally, exposed orally through diet and drinking water. Workers are exposed to the low level of metals chronically. All metals and metal compounds are potentially toxic to human, but many metals are essential and homeostasis is key to survival. Recently, the proportion of heavy metal poisoning is about 1% in the occupational disease, and reported cases annually are around 10 peoples in Korea. Ninety four cases of heavy metal poisoning were reported from 2001 to 2008 in Korea. The most cause of poisoning was chromium of 51 cases, and followed by lead (25 cases), manganese (9 cases), cadmium (6 cases), and mercury (3 cases), in orders. In this paper, there are reviewed and discussed about exposure source and route, absorption and metabolism, health effects, medical treatment and management of major metals mentioned above. Several metals are known human carcinogens, therefore workers exposed to metals in workplace should be controlled with meticulous care. In conclusion, the efficient controls for workers, who are working under the metal contaminated environment in industry, could be suggested as the prohibition of excessive exposure to metals through health education and environmental controls, and prevention and early detection of metal poisoning by the periodic health examination and exposure assessment.
Absorption ; Cadmium ; Carcinogens ; Chromium ; Diet ; Drinking Water ; Health Education ; Homeostasis ; Humans ; Inhalation ; Korea ; Manganese ; Metals ; Metals, Heavy ; Occupational Diseases ; Occupations ; Poisoning