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Chelation Therapy

Definition

Administration of a polydentate ligand that forms a stable water-soluble complex with the metal cation and increases urinary excretion. BAL (dimercaprol) is the classical agent. DMSA (succimer) and DMPS (unithiol) are the modern oral agents. Ca-EDTA is specific for lead. Prussian blue is unique to thallium.

Related terms

Bhasma
Calcined heavy-metal preparation in classical ayurvedic and siddha pharmacopoeia. Includes naga bhasma (lead), parad bhasma (mercury), tamra bhasma (copper). Heavy metals are...
Marsh Test
Sensitive 1836 method for arsenic in which the acidified sample is added to zinc and dilute sulphuric acid. The evolved arsine gas...
Mees Lines
Transverse white bands across the fingernails that follow acute or repeated chronic exposure to arsenic, thallium or selenium. Appear 4 to 8...
Reinsch Test
Classical screen for arsenic, antimony, mercury and bismuth. A clean copper strip is immersed in the acidified sample (concentrated HCl, near-boiling) for...
Speciation
Determining the chemical form of a metal in a sample, not just the total. Critical for arsenic because As(III) trivalent arsenite is...

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