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IRON POISONING
SOURCES WITH AN EXCESS OF IRON
(EXCESSIVELY CONSUMING WHICH MAY LEAD
TO TOXICITY)

 White Flour products
 Some iron supplements, containing iron
  alone as the ingredient.
 Red meat, especially beef.

 Pollution -- Iron contamination of the air,
  water and soil is quite common, especially in
  iron-producing areas.
SOURCES WITH AN EXCESS OF IRON
(EXCESSIVELY CONSUMING WHICH MAY LEAD
TO TOXICITY)

 Occupational Exposure. Welders, electrical
  workers who use solder, iron and pipe
  workers.
 Congenital Iron Toxicity (excessive iron
  present at birth). Most children today are
  born with some excess iron. They may still
  be anemic because their iron is not all
  bioavailable.
SOURCES WITH AN EXCESS OF IRON
(EXCESSIVELY CONSUMING WHICH MAY LEAD
TO TOXICITY)

   Emotional Iron Sources. Holding on to one’s
    anger or rage appears to keep iron in the
    body. While this is not a source of iron
    toxicity, it still has an extremely damaging
    effect.
IRON’S EFFECTS ON THE BODY
   Iron Replaces Other Vital Minerals Causing Enzyme
    Dysfunction.
   Inflammation. When iron replaces other elements in
    the body, in addition to enzyme malfunction, the next
    most important problem it causes is inflammation.
   Toxic Iron Oxide. Iron oxide is formed when iron
    combines with several atoms of oxygen at once. It is
    biologically useless and quite toxic as well
   Bacterial Growth Stimulant. Due to its properties as
    an excellent oxygen transporter, iron tends to stimulate
    the growth of common bacteria.
   Cellular Poison (Cancer). Imbalances related to iron
    reduce the output of cellular energy in the body. This
    leads directly to cancer
ORGANS AFFECTED BY IRON OVERLOAD

   Organs that may be most affected by iron are
    the pancreas, liver, kidneys, brain, heart, a
    rteries, and joints.
ACUTE POISONING
 Pain in the stomach (due to ulceration)
 Nausea, vomiting
 The pain then reduces for 24 hours as the
  iron passes deeper into the body and
  damages internal organs, particularly
  the brain, kidneys and liver, and metabolic
  acidosis develops (due to renal insufficiency).
  The body goes into shock and so occurs
  death from liver failure.
CHRONIC POISONING
   Diabetes (referred to as bronze diabetes): Iron replaces
    many minerals that can give rise to symptoms of
    diabetes.
   Cancers
   Nervous System Diseases. These may include
    Parkinson’s disease, Alzheimer’s disease and behavioral
    abnormalities, including violence, anti-social behavior,
    ADHD, autistic characteristics and other. A bad temper is
    often related to iron toxicity, as mentioned earlier.
   Hypertension
   Renal Failure
   Inflammatory symptoms
FATAL DOSE

   The therapeutic dose for iron deficiency
    anaemia is 3–6 mg/kg/day. Toxic effects
    begin to occur at doses above 10–20 mg/kg
    of elemental iron. Ingestions of more than
    50 mg/kg of elemental iron are associated
    with severe toxicity.
TREATMENT

 Chelating agents, such as deferoxamine.
 Iron Antagonists: These include minerals
  such as zinc, selenium, sulphur, and
  manganese.
 Dialysis

 Phlebotomy
MEDICOLEGAL ASPECTS

 Iron toxicity has been primarily associated
  with young children who consumed large
  quantities of iron supplement pills, which
  resemble sweets and are widely used.
 Excessive dietary intake of iron is not yet
  associated with bodily effects too large to
  indicate serious toxicity.
POSTMARTOM APPEARANCE

 Elevated iron concentrations in most major
  body organs: Liver, stomach, brain, heart,
  lungs, small bowel and kidneys, indicating
  oxidative damage.
 Congestion, edema, necrosis, and iron
  deposition in gastric and intestinal mucosa.
 Haemorrhage and congestion in the lungs.

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Iron Poisoning Sources and Effects

  • 2. SOURCES WITH AN EXCESS OF IRON (EXCESSIVELY CONSUMING WHICH MAY LEAD TO TOXICITY)  White Flour products  Some iron supplements, containing iron alone as the ingredient.  Red meat, especially beef.  Pollution -- Iron contamination of the air, water and soil is quite common, especially in iron-producing areas.
  • 3. SOURCES WITH AN EXCESS OF IRON (EXCESSIVELY CONSUMING WHICH MAY LEAD TO TOXICITY)  Occupational Exposure. Welders, electrical workers who use solder, iron and pipe workers.  Congenital Iron Toxicity (excessive iron present at birth). Most children today are born with some excess iron. They may still be anemic because their iron is not all bioavailable.
  • 4. SOURCES WITH AN EXCESS OF IRON (EXCESSIVELY CONSUMING WHICH MAY LEAD TO TOXICITY)  Emotional Iron Sources. Holding on to one’s anger or rage appears to keep iron in the body. While this is not a source of iron toxicity, it still has an extremely damaging effect.
  • 5. IRON’S EFFECTS ON THE BODY  Iron Replaces Other Vital Minerals Causing Enzyme Dysfunction.  Inflammation. When iron replaces other elements in the body, in addition to enzyme malfunction, the next most important problem it causes is inflammation.  Toxic Iron Oxide. Iron oxide is formed when iron combines with several atoms of oxygen at once. It is biologically useless and quite toxic as well  Bacterial Growth Stimulant. Due to its properties as an excellent oxygen transporter, iron tends to stimulate the growth of common bacteria.  Cellular Poison (Cancer). Imbalances related to iron reduce the output of cellular energy in the body. This leads directly to cancer
  • 6. ORGANS AFFECTED BY IRON OVERLOAD  Organs that may be most affected by iron are the pancreas, liver, kidneys, brain, heart, a rteries, and joints.
  • 7. ACUTE POISONING  Pain in the stomach (due to ulceration)  Nausea, vomiting  The pain then reduces for 24 hours as the iron passes deeper into the body and damages internal organs, particularly the brain, kidneys and liver, and metabolic acidosis develops (due to renal insufficiency). The body goes into shock and so occurs death from liver failure.
  • 8. CHRONIC POISONING  Diabetes (referred to as bronze diabetes): Iron replaces many minerals that can give rise to symptoms of diabetes.  Cancers  Nervous System Diseases. These may include Parkinson’s disease, Alzheimer’s disease and behavioral abnormalities, including violence, anti-social behavior, ADHD, autistic characteristics and other. A bad temper is often related to iron toxicity, as mentioned earlier.  Hypertension  Renal Failure  Inflammatory symptoms
  • 9. FATAL DOSE  The therapeutic dose for iron deficiency anaemia is 3–6 mg/kg/day. Toxic effects begin to occur at doses above 10–20 mg/kg of elemental iron. Ingestions of more than 50 mg/kg of elemental iron are associated with severe toxicity.
  • 10. TREATMENT  Chelating agents, such as deferoxamine.  Iron Antagonists: These include minerals such as zinc, selenium, sulphur, and manganese.  Dialysis  Phlebotomy
  • 11. MEDICOLEGAL ASPECTS  Iron toxicity has been primarily associated with young children who consumed large quantities of iron supplement pills, which resemble sweets and are widely used.  Excessive dietary intake of iron is not yet associated with bodily effects too large to indicate serious toxicity.
  • 12. POSTMARTOM APPEARANCE  Elevated iron concentrations in most major body organs: Liver, stomach, brain, heart, lungs, small bowel and kidneys, indicating oxidative damage.  Congestion, edema, necrosis, and iron deposition in gastric and intestinal mucosa.  Haemorrhage and congestion in the lungs.