November 1976

Hemodialysis of Acute Arsenic Intoxication With Transient Renal Failure

Author Affiliations

From the Department of Medicine, University of California, Irvine Medical Center.

Arch Intern Med. 1976;136(11):1303-1304. doi:10.1001/archinte.1976.03630110065017

A striking reduction in serum arsenic level was achieved after four hours of hemodialysis in a patient with acute arsenic intoxication and transient renal failure. Quantitative dialysance of arsenic and a comparison of daily urinary excretion of arsenic with amount removed by dialysis suggested that hemodialysis is indicated in the treatment of acute arsenic intoxication if there is concomitant renal failure. In the presence of normal renal function, supportive measures, including dimercaprol (BAL in Oil) therapy, constitute the best available treatment.

(Arch Intern Med 136:1303-1304, 1976)