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WHO (2021) World Health Organization

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The classic presenting symptoms of acute arsenic toxicity include Severe hemorrhagic gastroenteritis with abdominal pain, vomiting, and "bloody rice water" diarrhea Dehydration with hypotension and cardiovascular collapse Multisystem organ dysfunction with elevated liver enzymes, renal injury, and disseminated intravascular coagulation Acute tubular necrosis with acute renal failure has occurred with acute arsenic exposure.Encephalopathy has been reported within 24 to 72 hours following acute exposure, as well as in chronic exposures

doi: 10.1093/eurpub/ckp122