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Indoor and Built Environment
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Geogenic Arsenic and a Survey of Skin Lesions in the Emet Region of Kutahya, Turkey

M. Dogan

Department of Geological Engineering, Hacettepe University, Ankara, Turkey

A. U. Dogan

Department of Geological Engineering, Ankara University, Tandogan 06100 Ankara, Turkey; Department of Chemical and Biochemical Engineering, University of Iowa, USA

C. Celebi

Dermatological Clinic, Sihhiye, Ankara, Turkey

Y. I. Baris

Department of Chest Diseases, Guven Hospital, Ankara, Turkey

Subjects with chronic arsenic intoxication have been found in Emet, Kutahya, Turkey. Geological sources of arsenic within their environmental setting and the dermatological impact have been investigated. In this study a total of one hundred and fifty-three individuals were screened from two villages. An apparent doseresponse relationship between consumption of arsenic contaminated drinking water and skin disorders was observed. People from Dulkadir where the water contained 0.3–0.5mg As per litre had fewer lesions than those from Igdekoy with 8.9–9.3mg As per litre. At Igdekoy 30.9% (33/97) of individuals had arsenicrelated skin disorders compared to 5.35% (3/56) in Dulkadir. The lesions included palmo-plantar keratoses, basal cell carcinoma, plantar keratodermi, plantar hyperkeratosis, pigmented nodular lesions, keratic papules, Bowenoid lesions, hyperhydrosis, verruca plantaris and verruca plantaris and palmaris. Since arsenic carcinomas are often preceded by other stigmata of chronic arsenicism such as Bowenoid lesions, hyper-pigmentation and arsenic keratoses patients presenting with these lesions require urgent treatment.

Key Words: Arsenic • Drinking water • Skin disorders • Environmental cancer • Emet • Turkey

Indoor and Built Environment, Vol. 14, No. 6, 533-536 (2005)
DOI: 10.1177/1420326X05060121
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