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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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