Bromism
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Bromism | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Headache, lethargy, tremor, slurred speech, ataxia, delirium, psychosis, skin rash |
| Complications | Seizures, coma |
| Onset | Gradual, with chronic exposure |
| Duration | Variable, depending on exposure |
| Types | N/A |
| Causes | Excessive intake of bromide compounds |
| Risks | Use of bromide-containing medications or substances |
| Diagnosis | Clinical evaluation, serum bromide level |
| Differential diagnosis | Other causes of altered mental status, other causes of skin rash |
| Prevention | Avoidance of bromide compounds |
| Treatment | Discontinuation of bromide exposure, supportive care, saline diuresis |
| Medication | N/A |
| Prognosis | Generally good with cessation of exposure |
| Frequency | Rare in modern times |
| Deaths | N/A |
Bromism is a condition that occurs as a result of the excessive intake of bromide. Bromide is a chemical compound that was once widely used in medicine, particularly as a sedative and anticonvulsant. However, its use has declined significantly due to the risk of bromism and the development of more effective and safer medications.
Causes
Bromism is typically caused by the chronic ingestion of bromide-containing products. These can include certain types of medications, fire retardants, and even some types of food and drink. The condition can also occur as a result of occupational exposure to bromide.
Symptoms
The symptoms of bromism can vary widely, but often include neurological symptoms such as headache, fatigue, confusion, and hallucinations. Other symptoms can include gastrointestinal problems, skin rash, and cardiac abnormalities.
Diagnosis
Bromism is diagnosed based on the patient's history of exposure to bromide and the presence of characteristic symptoms. Laboratory tests can also be used to measure the level of bromide in the body.
Treatment
The primary treatment for bromism is to discontinue exposure to bromide. In severe cases, hemodialysis may be used to remove bromide from the body. Treatment also typically includes supportive care to manage symptoms.
Prevention
Prevention of bromism involves avoiding unnecessary exposure to bromide. This can include careful use of bromide-containing medications and avoiding occupational exposure to bromide.
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Contributors: Prab R. Tumpati, MD