Arsenic Poisoning: The Malevolent Mask of Toxicity
Arsenic might appear innocent, but beneath its metallic facade lies a lethal truth. Let’s uncover the dangerous compounds of arsenic and how its true nature emerges under specific conditions.
- Metallic Arsenic: A Deceptive Facade: In its metallic form, arsenic is not poisonous. However, upon oxidation by exposure to the air, it transforms into a dangerous substance.
- Volatilization: The Poisonous Vapor: When heated, arsenic readily combines with oxygen from the air, forming the notorious and toxic vapor of arsenic trioxide.
Arsenic’s Menacing Arsenal: Unraveling the Poisonous Compounds
Discover the insidious compounds that make arsenic a formidable killer, and understand how they wreak havoc on the body.
- Arsenious Oxide or Arsenic Trioxide (Sankhya or Somalkhar): Commonly known as white arsenic, this compound exists as a smooth, heavy, crystalline powder or a white and opaque solid mass.
- Copper Arsenite (Scheele’s Green) and Copper Acetoarsenite (Paris Green): These compounds add to the dangerous arsenal of arsenic’s toxicity.
- Arsenic Acid: A potent compound with harmful effects.
- Sodium and Potassium Arsenate: These compounds contribute to arsenic’s malevolent nature.
- Arsenic Trichloride (Butter of Arsenic): A volatile compound that requires careful handling.
The Lethal Dose: Understanding the Fatal Impact
Explore the devastating impact of arsenic poisoning and how its fatal dose varies depending on the form it takes.
- Fatal Dose: The lethal dose of arsenic trioxide typically falls within the range of 200-300 mg. The trivalent form (arsenite) is more toxic than the pentavalent form (arsenate) due to its higher water solubility. Arsine gas is the most toxic form.
- Fatal Period: In general, death occurs within 12-48 hours, with some cases resulting in death within 2-3 hours.
Tackling Arsenic Poisoning: Unveiling the Antidotes and Treatments
In the face of arsenic poisoning, timely and appropriate treatments are vital. Let’s explore the various antidotes and measures to combat this lethal threat.
- Emetics Not Recommended: Emetics are not the recommended course of action.
- Stomach Washing: Thorough and repeated washing of the stomach with warm water and milk is essential.
- Demulcents for Prevention: Demulcents can prevent absorption of arsenic.
- Whole Bowel Irrigation: Polyethylene glycol can be effective to prevent gastrointestinal absorption.
- Antidotes: BAL or dimercaprol serves as an effective antidote for arsenic poisoning. Oral succimer or dimerval can be alternatives to BAL.
- Alkalis Not Recommended: Avoid giving alkalis by mouth as they increase the solubility of arsenic.
Symptoms Unmasked: Recognizing the Menace of Arsenic Poisoning
Discover the different types of arsenic poisoning and their distinctive signs and symptoms.
- The Fulminant Type: Characterized by dilated capillaries, cardiac muscle action, and the absence of gastrointestinal symptoms.
- The Gastroenteric Type: The most common form of acute poisoning, resembling bacterial food poisoning with gastrointestinal symptoms.
- The Narcotic Form: Minimal gastrointestinal symptoms, with giddiness, muscle tenderness, delirium, coma, and death.
Postmortem Revelations: Unraveling the Aftermath of Arsenic Poisoning
Explore the visible effects of arsenic poisoning on the body’s external and internal features.
- External Signs: Emaciation, pigmentation, keratosis, alopecia, white streaks on nails, jaundice, and septum ulceration.
- Internal Findings: Gastritis, thickened mucosa, liver fatty degeneration, tubular necrosis in kidneys, myocardial necrosis in the heart, and more.
Chronic Arsenic Poisoning: A Gradual and Sinister Threat
Understand the stages of chronic arsenic poisoning and how it affects different body systems.
- GIT Disturbances: Nausea, vomiting, abdominal cramps, diarrhea, and salivation.
- Catarrhal Changes: Ocular and respiratory symptoms.
- Skin Rashes: Rash resembling fading measles, speckled brown pigmentation, hyperkeratosis, and white lines on fingernails.
- Nervous Disturbances: Tingling, polyneuritis, anesthesia, paraesthesia, encephalopathy, and more.
Unmasking the Culprit: Medico-Legal Aspects of Arsenic Poisoning
Explore the different scenarios of arsenic poisoning and its potential motives, from homicidal to occupational exposure.
- Homicide: Arsenic has been a popular choice for homicide due to its subtle onset of symptoms, low cost, and tasteless nature.
- Suicide and Accidental Death: Rarely used for suicide due to excessive pain. Accidental deaths can occur from improper medicinal use or ingestion of arsenic-contaminated food or drink.
- Occupational Exposure: Workers in metal foundries, mining, glass production, and semiconductor industries are at risk.
Arming for Detection: Tests and Tolerance
Discover the tests used to identify arsenic poisoning and the concept of tolerance in some individuals.
- Excretion Test: Excretion of more than 100 micrograms in 24 hours in urine may indicate arsenic poisoning.
- Atomic Absorption Spectroscopy: A precise method for detection.
- Marsh’s and Reinsch’s Tests: Reliable methods for identifying arsenic.
- Tolerance: Some individuals known as “arsenophagists” develop tolerance to daily arsenic consumption.
Conclusion: Arsenic Poisoning—An Enigmatic Threat
Unveiling the true face of arsenic poisoning is essential to safeguarding ourselves from this sinister threat. Stay vigilant, recognize the symptoms, and take prompt action to protect yourself and others from this deceptive killer.
