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Acute aluminum encephalopathy in a dialysis center caused by a cement mortar water distribution pipe
Kenrick Berend, Gijsbert Van Der Voet, Walther H. Boer Kidney International Volume 59, Issue 2, Pages (February 2001) DOI: /j x Copyright © 2001 International Society of Nephrology Terms and Conditions
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Figure 1 Emergence of the acute aluminum (Al) intoxication. Day “0” (May 21, 1996) is the first day on which water was delivered to Diatel Curaçao through the new cemented water distribution pipe. On day “5” of week 9, the clinical diagnosis of “acute Al intoxication” was made, and on day “4” of week 10, this diagnosis was confirmed by a serum Al assay. Symbols are: (2) admission; (▪) death; N = patient number. Kidney International , DOI: ( /j x) Copyright © 2001 International Society of Nephrology Terms and Conditions
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Figure 2 Total serum Ca concentration in survivors (•) and nonsurvivors (○) of the Al intoxication. Data are presented as mean ± SEM. Postdialysis Ca concentrations were not available at the time of routine sampling in April and May. In June, samples were obtained both before and after two subsequent dialysis sessions taking place in weeks 5 and 6. The dotted line indicates the upper level of the normal range for our laboratory. Kidney International , DOI: ( /j x) Copyright © 2001 International Society of Nephrology Terms and Conditions
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