Hatter's shakes are seen in which poisoning

Mercury Hatter's shakes are seen with chronic mercury poisoning Chronic mercury poisoning Also Ida hydrargyrism (Latin word for mercury is hydrargyrum, thus the symbol Hg "hydr" - meaning watery or runny & "argyros" - meaning silver i.e. liquid silver) Symptoms are salivation, metallic taste, inflammed gums, loosening of teeth & occasionally a blue-black line on the gums as with lead poisoning. Nephritis is a serious complication. Mercuria lentis - discolouration of the capsule of lens as observed through slit lamp is one of the early symptoms of chronic mercury poisoning. Tremors (sometimes called Danbury tremors) are moderately coarse & is interspersed by jerky movements. The advanced condition is k/a Hatter's or glass blower's shakes because they are common in persons working in gloss-blowing & hat industries. The most severe form is known as concussio mercurialis in which no activity is possible. Erethism is a peculiar disturbance of the personality characterised by shyness, irritability, tremors, loss of memory & insomnia. It is common in workers in mirror industry. Acrodynia or pink disease - characterised by generalised body rash, is an idiosyncratic hypersensitivity reaction paicularly seen in chldren. It is caused by chronic mercury exposure in any form usually in children. Minimata disease - A type of organic mercurial poisoning due to eating of fish poisoned by mercury. Treatment of chronic mercury poisoning - Removal of exposure - Demulcents (soothing agents) - Saline purgatives - Oral hygine - Chelation therapy (D-penicillamine, BAL, DMPS, DMSA)