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Yıl:2009; Cilt: 11; Sayı: 1>> Özet
Türkiye'de Psikiyatri; 2009;11(1):45-47
Anksiyete belirtileri ile ortaya çıkan civa zehirlenmesi: Mad Hatter Hastalığı
G Hızlı, İ Aydın, H Bulut, AB Arslan
Neuropsychiatry Istanbul Hospital, Department of Psychiatry, Istanbul
Civa(Hg) zehirlenmesi nadir rastlanan ancak yaşamı tehdit eden, ciddi kompilaksyonlara yol açabilen bir tıbbi sorundur. Civa zehirlenmesi, etkilerine
daha açık olan çocuklarda gelişmekte olan merkesi sinir siztemi hasarına yol açabilir. Civa buharına solunum yolu ile maruz kalanlarda pulmoner
ve renal bozukluklar izlenebilir. Bu olguda özellikle anksiyete belirtileri sergileyen çocuk ve ergenlerde detaylı öykü alınmasının önemi vurgulanmaktadır.
Bu olgu sunumunda 16 yaşındaki kadın hastada civa zehirlenmesinin nöropsikiyatrik komplikasyonu anlatılmaktadır.
Nadir görülen bir durum olmakla birlikte daha önce sağlıklı olan bir hastada alışılmadık pskiyatrik ve nörolojik belirtiler geliştiğinde civa zehirlenmesi
tablosu dışlanmalıdır.
Mercury intoxication presenting with anxiety symptoms: Mad Hatter Disease
Mercury (Hg) poisoning in is a rare but life threatening condition and may cause serious complications.
Historically mercury was used in the making of hats. The psychological symptoms associated with mercury
poisoning have inspired the phrase ?mad as a hatter?. Children are particularly vulnerable to the effects
of Hg intoxication, which may lead to impairment of the developing central nervous system, as well
as pulmonary and kidney disorders in exposed persons who inhale mercury vapors. This case emphasizes
the importance of a detailed history taking especially in children and adolescents presenting with
anxiety symptoms.
This case study describes the neuropsychiatric complications of mercury intoxication in a 16- [year]-old female
patient.
Though it is a rare condition, mercury-poisoning must be ruled out if a previously healthy patient develops
unusual psychiatric and neurological symptoms.

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