This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Some Interesting Clinical and Laboratory Findings

Philip Berwick, MD

JAMA. 1970;214(6):1114-1117.

Abstract
A man who accidentally ingested 2,4-dichlorophenoxyacetic acid (2,4-D) exhibited fibrillary twitching and paralysis of intercostal muscles. There was evidence of generalized skeletal muscle damage as indicated by marked elevation of serum glutamic oxaloacetic transaminase, serum glutamic pyruvic transaminase, lactic dehydrogenase, aldolase, and creatine phosphokinase levels. In addition to hemoglobinuria, myoglobinuria (to our knowledge, previously unreported in this condition) was observed.

Author Affiliations
From the Department of Medicine, Middlesex Memorial Hospital, Middletown, Conn.

Footnotes
Reprint requests to Box 19, Moodus, Conn 06469 (Dr. Berwick).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Pesticide use in the U.S. and policy implications: A focus on herbicides
Colborn and Short
Toxicol Ind Health 1999;15:241-276.
ABSTRACT  

A Comprehensive, Integrated Review and Evaluation of the Scientific Evidence Relating to the Safety of the Herbicide 2,4-D
Munro et al.
International Journal of Toxicology 1992;11:559-664.
ABSTRACT  

Acute MCPP Intoxication: Report of Two Cases
Meulenbelt et al.
Hum Exp Toxicol 1988;7:289-292.
ABSTRACT  

Epidemiology of Hexachlorobenzene-Induced Porphyria in Turkey: Clinical and Laboratory Follow-up After 25 Years
Peters et al.
Arch Neurol 1982;39:744-749.
ABSTRACT  

Myotonia Induced by Monocarboxylic Aromatic Acids: A Possible Mechanism
Brody
Arch Neurol 1973;28:243-246.
ABSTRACT