selenosis
Table of Contents
selenium poisoning / selenosis
see also:
Introduction
- selenium is an essential trace element however, it is toxic if taken in excess at levels > 400-800mcg/d and can lead to selenosis
- Recommended Dietary Allowances (RDAs) for selenium is 55 μg/day
- major food sources of selenium in the American diet are breads, grains, meat, poultry, fish, and eggs.
- toxicity risk is mainly in China where people who ingest corn grown in extremely selenium-rich stony coal (carbonaceous shale which has selenium content of 9.1%)
- elsewhere, the most frequent ingestion resulting in acute selenium toxicity is that of gun bluing - children who ingest this suffer cardiovascular collapse within minutes of ingestion
- large amounts of brazil nuts has caused selenosis (each nut contains 68-91mcg)
- chronic toxicity may occur in taking selenium supplements
- selenium poisoning of water systems may result whenever new agricultural runoff courses through normally dry, undeveloped lands
- elemental selenium and most metallic selenides have relatively low toxicities because of their low bioavailability
- selenates and selenites are very toxic, having an oxidant mode of action similar to that of arsenic trioxide
- chronic toxic dose of selenite for humans is about 2400-3000 micrograms of selenium per day
- selenium also occurs in organic compounds, such as dimethyl selenide, selenomethionine, selenocysteine and methylselenocysteine, all of which have high bioavailability and are toxic in large doses
Clinical features of selenosis
- garlic odor on the breath
- metallic taste
- gastrointestinal disorders
- alopecia
- sloughing of nails
- fatigue
- irritability
- neurological damage - hyperreflexia, peripheral paresthesia, anesthesia and hemiplegia
- extreme cases may develop:
- rapid cardiovascular collapse and death may occur in large acute poisonings
- and may be fatal
Selenium deficiency
- may occur in those with severe GIT malabsorption issues, on total parenteral nutrition, those aged over 90yrs and those dependent on foods grown in selenium poor soils
- it generally becomes symptomatic only when other stresses are concurrent such as mercury exposures or vitamin E deficiency
- it rarely occurs in absence of other issues hence effect of selenium deficiency on health remains uncertain
selenosis.txt · Last modified: 2023/09/23 10:26 by gary1