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Med Pediatr Oncol. 1996 Jul;27(1):64-7. doi: 10.1002/(SICI)1096-911X(199607)27:1<64::AID-MPO13>3.0.CO;2-5.

Aluminum toxicity following intravesical alum irrigation for hemorrhagic cystitis.

Medical and pediatric oncology

V S Kanwar, J J Jenkins, B N Mandrell, W L Furman

Affiliations

  1. Department of Hematology Oncology, St. Jude Children's Research Hospital, Mcmphis, TN 38101-0318, USA.

PMID: 8614395 DOI: 10.1002/(SICI)1096-911X(199607)27:1<64::AID-MPO13>3.0.CO;2-5

Abstract

Mental status changes in an immunosuppressed child can be due to a variety of causes; aluminum toxicity is rarely considered. We report a teenage girl with acute lymphoblastic leukemia who developed mental status changes, speech disturbance, coarse tremor, and abnormal EEG findings following intravesical 1% alum irrigation and administration of aluminum-containing antacids. Her serum aluminum levels were mildly elevated (14-22 milligram(s), normal 0-6 milligram(s)), and bone marrow biopsy specimens demonstrated aluminum deposition on special staining (Krueger's method). All abnormalities resolved after a nine-week course of intravenous deferoxamine.

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