TY - JOUR T1 - Acrodynia: a case report of two siblings JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 453 LP - 453 DO - 10.1136/adc.86.6.453 VL - 86 IS - 6 AU - Y Horowitz AU - D Greenberg AU - G Ling AU - M Lifshitz Y1 - 2002/06/01 UR - http://adc.bmj.com/content/86/6/453.1.abstract N2 - Acrodynia, a rare disorder, is a form of chronic mercury poisoning.1 We report two siblings who developed the classic clinical picture of acrodynia.A 4½12 year old boy was admitted with dysuria, general weakness, and loss of appetite. He had hypertension (140/95 mm Hg) and tachycardia (141 beats/min). He was irritable and depressed, and had a diffuse itching papular rash with palmar erythema and superficial desquamation (fig 1⇓). Initial evaluation revealed a normal complete blood count and a normal blood chemistry. Urine analysis and complement levels were normal. Vanillymandelic acid in a 24 hour urine collection was 22.2 μmol/day. Duplex scan of the renal … ER -