Pediatric Terrorism and Disaster Preparedness: Table 5.5

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Pediatric Terrorism and Disaster Preparedness

Public Health Emergency Preparedness

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Table 5.5. Clinical Effects from Sulfur Mustard Exposure

	Eyes	Skin	Respiratory Tract	Bone Marrow	Gastrointestinal (GI) Tract	Central Nervous System (CNS)
Minimal	Tearing, burning, mild conjunctivitis, photophobia.	Erythema.	Rhinorrhea, hoarseness, hacking cough.	Reactive leukocytosis.	Nausea, vomiting.	Apathy, depression, anxiety.
Moderate	Severe conjunctivitis with blepharospasm, lid edema, pain, miosis.	Blisters.	Severe cough, expectoration, aphoria.	Leukopenia (often preceded by leukocytosis).	As above.	As above.
Severe	Corneal edema, severe pain, ocular perforation.	Deep burning with full-thickness skin loss.	Dyspnea, pulmonary edema, asphyxia, bronchopneumonia.	Severe leukopenia, aplastic anemia.	Later nausea, vomiting (possible bloody), diarrhea.	Agitation, hyper-excitability, abnormal muscular activity, coma.

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