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November 1918

THE RELATIVE EFFICIENCY OF THE DIFFERENT MERCURIAL PREPARATIONS IN THE TREATMENT OF CONGENITAL SYPHILIS IN INFANTS AND CHILDREN: AS DETERMINED BY A QUANTITATIVE ANALYSIS OF THE MERCURY ELIMINATED IN THE URINE

Author Affiliations

Associate Professor of Pediatrics, University of Minnesota Medical School ST. PAUL; Instructor in Pediatrics, University of Minnesota Medical School MINNEAPOLIS

Am J Dis Child. 1918;16(5):299-306. doi:10.1001/archpedi.1918.01910170022003
Abstract

In spite of the different forms of arsenic used under various trade names, mercury, in some form, still holds the foremost place in the treatment of syphilis. Even when the arsenic preparations are used, mercury is usually continued for long periods in order to effect a cure.

Many of the salts of mercury, including metallic mercury itself, are administered in various ways: by mouth, by insufflation, subcutaneously and by inunction.

ABSORPTION AND ELIMINATION OF MERCURY  Owing to the difficulty in detecting mercury in the body fluids, little light has been thrown on the question as to what extent the different forms of mercury were absorbed and how eliminated. Meyer and Gottleib1 state, "the excretion of mercury in the urine offers a means of estimating the amounts of mercury circulating in the body and the duration of its action. After absorption it circulates as a compound of mercury albuminate and

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