Sample records for argyria
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Argyria secondary to ingestion of homemade silver solution.
Brandt, Douglas; Park, Betty; Hoang, Mai; Jacobe, Heidi T
2005-08-01
Argyria is a rare skin disease caused by cutaneous deposition of silver granules in the skin as a result of exposure to silver substrate or ingestion of silver salt. This report describes a patient with generalized argyria caused by ingestion of homemade colloidal silver solution. The patient learned about the uses of the silver solution and its preparation at a convention for "natural medicine."
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Silver nasal sprays: misleading Internet marketing.
Gaslin, Michael T; Rubin, Cory; Pribitkin, Edmund A
2008-04-01
Long-term use of silver-containing products is associated with a permanent bluish-gray discoloration of the skin known as argyria, but they remain widely available despite several measures by the FDA to regulate them. Several recent case reports have described the occurrence of argyria as a result of using these "natural" products. We used the five most common Internet search engines to find Web sites providing information on silver-containing nasal sprays. Of 49 Web sites analyzed, only 2 (4%) mentioned argyria as a possible complication, although 30 (61%) did caution against long-term use. Eight sites (16%) made specific claims about the health benefits of the product. All 49 sites (100%) provided direct or indirect links to buy silver-containing nasal sprays. We conclude that information about silver-containing nasal sprays on the Internet is misleading and inaccurate. Therefore, otolaryngologists should be aware of the misinformation their patients may be receiving about these products.
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A Pharmacological and Toxicological Profile of Silver as an Antimicrobial Agent in Medical Devices
Lansdown, Alan B. G.
2010-01-01
Silver is used widely in wound dressings and medical devices as a broad-spectrum antibiotic. Metallic silver and most inorganic silver compounds ionise in moisture, body fluids, and secretions to release biologically active Ag+. The ion is absorbed into the systemic circulation from the diet and drinking water, by inhalation and through intraparenteral administration. Percutaneous absorption of Ag+ through intact or damaged skin is low. Ag+ binds strongly to metallothionein, albumins, and macroglobulins and is metabolised to all tissues other than the brain and the central nervous system. Silver sulphide or silver selenide precipitates, bound lysosomally in soft tissues, are inert and not associated with an irreversible toxic change. Argyria and argyrosis are the principle effects associated with heavy deposition of insoluble silver precipitates in the dermis and cornea/conjunctiva. Whilst these changes may be profoundly disfiguring and persistent, they are not associated with pathological damage in any tissue. The present paper discusses the mechanisms of absorption and metabolism of silver in the human body, presumed mechanisms of argyria and argyrosis, and the elimination of silver-protein complexes in the bile and urine. Minimum blood silver levels consistent with early signs of argyria or argyrosis are not known. Silver allergy does occur but the extent of the problem is not known. Reference values for silver exposure are discussed. PMID:21188244
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Exposure-related health effects of silver and silver compounds: a review.
Drake, Pamela L; Hazelwood, Kyle J
2005-10-01
A critical review of studies examining exposures to the various forms of silver was conducted to determine if some silver species are more toxic than others. The impetus behind conducting this review is that several occupational exposure limits and guidelines exist for silver, but the values for each depend on the form of silver as well as the individual agency making the recommendations. For instance, the American Conference of Governmental Industrial Hygienists has established separate threshold limit values for metallic silver (0.1 mg/m3) and soluble compounds of silver (0.01 mg/m3). On the other hand, the permissible exposure limit (PEL) recommended by the Occupational Safety and Health Administration and the Mine Safety and Health Administration and the recommended exposure limit set by the National Institute for Occupational Safety and Health is 0.01 mg/m3 for all forms of silver. The adverse effects of chronic exposure to silver are a permanent bluish-gray discoloration of the skin (argyria) or eyes (argyrosis). Most studies discuss cases of argyria and argyrosis that have resulted primarily from exposure to the soluble forms of silver. Besides argyria and argyrosis, exposure to soluble silver compounds may produce other toxic effects, including liver and kidney damage, irritation of the eyes, skin, respiratory, and intestinal tract, and changes in blood cells. Metallic silver appears to pose minimal risk to health. The current occupational exposure limits do not reflect the apparent difference in toxicities between soluble and metallic silver; thus, many researchers have recommended that separate PELs be established.
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A case of generalized argyria after ingestion of colloidal silver solution.
Kim, Yangho; Suh, Ho Seok; Cha, Hee Jeong; Kim, Suk Hwan; Jeong, Kyoung Sook; Kim, Dong Hoon
2009-03-01
A 58-year-old woman was referred to our hospital due to progressive skin darkening, which began 5 months previously. The patient had strikingly diffuse blue-gray discoloration of the skin, most prominent in sun-exposed areas, especially her face and hands. The oral mucosa, tongue, gums, eye conjunctiva, ears, nail beds, and trunk were also involved. Bluish-gray discoloration of all nails was aggravated by cold weather. She had ingested 1 L of colloidal silver solution daily for approximately 16 months as a traditional remedy. Her serum silver concentration was 381 ng/ml which was a very high (reference level: <15 ng/ml). Light microscopic examination of a punch biopsy specimen from her nose revealed fine, minute, round, and brown-black granules deposited in the basement membrane of hair follicular epithelium. Scanning electron microscopic examination showed electron-dense granules deposited in the intercellular space of sweat glands. Energy disperse X-ray spectrometry analysis demonstrated peaks for silver and sulfur in the dense black deposits. The ingestion of colloidal silver appears to be an increasing practice among patients using alternative health practices. All silver-containing products including colloidal silver should be labeled with a clear warning to prevent argyria, especially in alternative health practices.
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Silver deposition and tissue staining associated with wound dressings containing silver.
Walker, Michael; Cochrane, Christine A; Bowler, Philip G; Parsons, David; Bradshaw, Peter
2006-01-01
Argyria is the general term used to denote a clinical condition in which excessive administration and deposition of silver causes a permanent irreversible gray-blue discoloration of the skin or mucous membranes. The amount of discoloration usually depends on the route of silver delivery (ie, oral or topical administration) along with the body's ability to absorb and excrete the administered silver compound. Argyria is accepted as a rare dermatosis but once silver particles are deposited, they remain immobile and may accumulate during the aging process. Topical application of silver salts (eg, silver nitrate solution) may lead to transient skin staining. To investigate their potential to cause skin staining, two silver-containing dressings (Hydrofiber and nanocrystalline) were applied to human skin samples taken from electively amputated lower limbs. The potential for skin discoloration was assayed using atomic absorption spectroscopy. When the dressings were hydrated with water, a significantly higher amount of silver was released from the nanocrystalline dressing compared to the Hydrofiber dressing (P <0.005), which resulted in approximately 30 times more silver deposition. In contrast, when saline was used as the hydration medium, the release rates were low for both dressings and not significantly different (silver deposition was minimal). Controlling the amount of silver released from silver-containing dressings should help reduce excessive deposition of silver into wound tissue and minimize skin staining.
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Oral toxicity of silver ions, silver nanoparticles and colloidal silver--a review.
Hadrup, Niels; Lam, Henrik R
2014-02-01
Orally administered silver has been described to be absorbed in a range of 0.4-18% in mammals with a human value of 18%. Based on findings in animals, silver seems to be distributed to all of the organs investigated, with the highest levels being observed in the intestine and stomach. In the skin, silver induces a blue-grey discoloration termed argyria. Excretion occurs via the bile and urine. The following dose-dependent animal toxicity findings have been reported: death, weight loss, hypoactivity, altered neurotransmitter levels, altered liver enzymes, altered blood values, enlarged hearts and immunological effects. Substantial evidence exists suggesting that the effects induced by particulate silver are mediated via silver ions that are released from the particle surface. With the current data regarding toxicity and average human dietary exposure, a Margin of Safety calculation indicates at least a factor of five before a level of concern to the general population is reached. Copyright © 2013 Elsevier Inc. All rights reserved.
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Warila, James; Batterman, Stuart; Passino-Reader, Dora R.
2001-01-01
Silver (Ag) is discharged in wastewater effluents and is also a component in a proposed secondary water disinfectant. A steady-state model was developed to simulate bioaccumulation in aquatic biota and assess ecological and human health risks. Trophic levels included phytoplankton, invertebrates, brown trout, and common carp. Uptake routes included water, food, or sediment. Based on an extensive review of the literature, distributions were derived for most inputs for use in Monte Carlo simulations. Three scenarios represented ranges of dilution and turbidity. Compared with the limited field data available, median estimates of Ag in carp (0.07-2.1 Iμg/g dry weight) were 0.5 to 9 times measured values, and all measurements were within the predicted interquartile range. Median Ag concentrations in biota were ranked invertebrates > phytoplankton > trout > carp. Biotic concentrations were highest for conditions of low dilution and low turbidity. Critical variables included Ag assimilation eficiency, specific feeding rate, and the phytoplankton bioconcentration factor. Bioaccumulation of Ag seems unlikely to result in txicity to aquatic biota and humans consuming fish. Although the highest predicted Ag concentrations in water (>200 ng/L) may pose chronic risks to early survival and development of salmonids and risks of argyria to subsistence fishers, these results occur under highly conservative conditions.
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120 years of nanosilver history: implications for policy makers.
Nowack, Bernd; Krug, Harald F; Height, Murray
2011-02-15
Nanosilver is one nanomaterial that is currently under a lot of scrutiny. Much of the discussion is based on the assumption that nanosilver is something new that has not been seen until recently and that the advances in nanotechnology opened completely new application areas for silver. However, we show in this analysis that nanosilver in the form of colloidal silver has been used for more than 100 years and has been registered as a biocidal material in the United States since 1954. Fifty-three percent of the EPA-registered biocidal silver products likely contain nanosilver. Most of these nanosilver applications are silver-impregnated water filters, algicides, and antimicrobial additives that do not claim to contain nanoparticles. Many human health standards for silver are based on an analysis of argyria occurrence (discoloration of the skin, a cosmetic condition) from the 1930s and include studies that considered nanosilver materials. The environmental standards on the other hand are based on ionic silver and may need to be re-evaluated based on recent findings that most silver in the environment, regardless of the original silver form, is present in the form of small clusters or nanoparticles. The implications of this analysis for policy of nanosilver is that it would be a mistake for regulators to ignore the accumulated knowledge of our scientific and regulatory heritage in a bid to declare nanosilver materials as new chemicals, with unknown properties and automatically harmful simply on the basis of a change in nomenclature to the term "nano".
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Colorimetric Solid Phase Extraction (CSPE): Using Color to Monitor Spacecraft Water Quality
NASA Technical Reports Server (NTRS)
Gazda, Daniel B.; Nolan, Daniel J.; Rutz, Jeffrey A.; Schultz, John R.; Siperko, Lorraine M.; Porter, Marc D.; Lipert, Robert J.; Flint, Stephanie M.; McCoy, J. Torin
2010-01-01
In August 2009, an experimental water quality monitoring kit based on Colorimetric Solid Phase Extraction (CSPE) technology was delivered to the International Space Station (ISS). The kit, called the Colorimetric Water Quality Monitoring Kit (CWQMK), was launched as a Station Development Test Objective (SDTO) experiment to evaluate the suitability of CSPE technology for routine use monitoring water quality on the ISS. CSPE is a sorption-spectrophotometric technique that combines colorimetric reagents, solid-phase extraction, and diffuse reflectance spectroscopy to quantify trace analytes in water samples. In CSPE, a known volume of sample is metered through a membrane disk that has been impregnated with an analyte-specific colorimetric reagent and any additives required to optimize the formation of the analyte-reagent complex. As the sample flows through the membrane disk, the target analyte is selectively extracted, concentrated, and complexed. Formation of the analyte-reagent complex causes a detectable change in the color of the membrane disk that is proportional to the amount of analyte present in the sample. The analyte is then quantified by measuring the color of the membrane disk surface using a hand-held diffuse reflectance spectrophotometer (DRS). The CWQMK provides the capability to measure the ionic silver (Ag +) and molecular iodine (I2) in water samples on-orbit. These analytes were selected for the evaluation of CSPE technology because they are the biocides used in the potable water storage and distribution systems on the ISS. Biocides are added to the potable water systems on spacecraft to inhibit microbial growth. On the United States (US) segment of the ISS molecular iodine serves as the biocide, while the Russian space agency utilizes silver as a biocide in their systems. In both cases, the biocides must be maintained at a level sufficient to control bacterial growth, but low enough to avoid any negative effects on crew health. For example, the presence of high levels of iodine in water can cause taste and odor issues that result in decreased water consumption by the crew. There are also concerns about potential impacts on thyroid function following exposure to high levels of iodine. With silver, there is a risk of developing argyria, an irreversible blue-gray discoloration of the skin, associated with long term consumption of water containing high concentrations of silver. The need to ensure that safe, effective levels of biocide are maintained in the potable water systems on the ISS provides a perfect platform for evaluating the suitability of CSPE technology for in-flight water quality monitoring. This paper provides an overview of CSPE technology and details on the silver and iodine methods used in the CWQMK. It also reports results obtained during in-flight analyses performed with the CWQMK and briefly discusses other potential applications for CSPE technology in both the spacecraft and terrestrial environments.
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Garboś, S; Swięcicka, D
2012-01-01
A comprehensive study was undertaken in order to examine the possible adverse effect of jug filter systems (JFSs) on the quality of filtered water taking into account the released amounts of silver (Ag) into the filtered test water. Nine brands of JFSs (A-I) were investigated according to BS 8427:2004 using a validated ICP/MS method. Essential modification of BS 8427:2004 within the domain of the composite sample preparation was proposed and applied during the tests. The established grand mean concentrations of released Ag from A-H classic cartridges (containing Ag-modified activated carbon and ion exchange resins) and I classic cartridge (containing non-modified activated carbon and ion exchange resin) installed in corresponding JFSs were in the range of 2.6-13.1 µg l⁻¹ and lower than 0.014 µg l⁻¹, respectively. These values were applied for the estimation of the daily intakes of Ag connected with the consumption of water filtered using JFSs (ranging from < 0.0004 to 0.374 µg kg⁻¹ day⁻¹). After taking into account the grand mean concentrations of Ag established during the whole cycle of exploitation for nine JFSs and on the basis of available toxicological data for this element, no long-term risk for human health with respect to appearance of argyria (a condition caused by improper exposure to the Ag or Ag compounds) could be expected (the Hazard Quotient indices estimated as ratios of the daily intakes to the reference dose of Ag were equal or lower than 0.075). Ag-modified activated carbon is not included in the positive list of the authorised substances of the European Commission Regulation (EU) No. 10/2011. Additionally, this material has not been approved by European Food Safety Authority (EFSA). A part of water filtered by JFSs can be directly consumed as drinking water and additionally the remaining water can be applied for the preparation of food products (drinks, soups, etc.). In both cases the quality of water has to fulfil the requirements listed in Directive 98/83/EC (Regulation (EC) No. 178/2002 defines the quality of water intentionally incorporated into the food after the point of compliance as defined in Article 6 of Directive 98/83/EC). However, it should be underlined that point-of-use water treatment units (including JFSs) are not regulated under Directive 98/83/EC and additionally the parametric value for Ag is not included in this document. Therefore, a provisional migration limit for Ag leached from JFSs at the level of 25 µg l⁻¹ was proposed. This value for Ag would limit intake to less than 13% of the human No Observed Adverse Effect Level (NOAEL) (0.39 mg person⁻¹ day⁻¹), using an assumption that each day 2 L of filtered water is consumed containing this metal at the provisional migration limit. All the JFSs tested meet this requirement.