Thallium Poisoning: A Diagnostic Enigma and Recovery

The provided podcast from Medical Toxicology details a rare case of chronic thallium poisoning in a 51-year-old female lawyer, outlining her progressive multi-system symptoms including gastrointestinal issues, neurological decline, liver failure, and distinctive dermatological signs like alopecia and hyperkeratosis. Despite extensive testing ruling out other conditions, elevated urinary thallium levels confirmed the diagnosis, leading to successful treatment with chelation therapy. The case underscores the diagnostic challenges of thallium poisoning due to its nonspecific presentation and highlights key features like alopecia, neuropathy, and the importance of urinary testing. Ultimately, the source emphasizes the need for clinical vigilance in recognizing this "toxicological enigma" for timely intervention, even when the source of exposure remains unknown.

More information: https://medicaltoxic.com/case-studies/toxic-enigma-jaundice-neuropathy-and-hair-loss