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TOXICOLOGICAL PROFILE FOR BARIUM AND COMPOUNDS ...

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25<br />

2. HEALTH EFFECTS<br />

determine if the reduced blood urea nitrogen was an adverse liver effect.<br />

Results of intermediate and chronic studies involving oral exposure of rats to<br />

barium in drinking water have been negative for hepatic effects (Schroeder and<br />

Mitchener 1975a; Tardiff et al. 1980). In these intermediate and chronic<br />

studies, hepatic effects were assessed by determining hepatic weight and by<br />

performing gross and histopathological examinations of the liver.<br />

Renal Effects. Toxic effects on the kidneys have been observed in<br />

several adult cases of acute barium poisoning. Effects include hemoglobin in<br />

the urine (Gould et al. 1973), renal insufficiency (Lewi and Bar-Khayim 1964;<br />

Phelan et al. 1984), degeneration of the kidneys (McNally 1925), and acute<br />

renal failure (Wetherill et al. 1981).<br />

Renal effects observed in animals following oral barium exposure have<br />

been minor. Increased kidney/body weight ratios have been noted in rats<br />

exposed acutely by gavage to 198 mg barium/kg/day as barium chloride; however,<br />

this change was not associated with gross or microscopic renal lesions<br />

(Borzelleca et al. 1988).<br />

Results of intermediate and chronic studies in which rats have been<br />

exposed orally to barium drinking water have been negative for renal effects<br />

(McCauley et al. 1985; Schroeder and Mitchener 1975a; Tardiff et al. 1980).<br />

In these intermediate and chronic studies, renal effects were evaluated by<br />

determining kidney weight and by performing gross and/or histopathologic<br />

examination of the kidney. Lesions of the renal glomeruli were reportedly<br />

observed in several experiments involving oral exposure of uninephrectomized<br />

rats and salt-sensitive and salt-resistant rats to 150 mg barium/kg/day of an<br />

unspecified barium compound for 16 weeks; however, these particular<br />

experiments are inconclusive regarding renal toxicity because no control<br />

animals were used (McCauley et al. 1985).<br />

Dermal/Ocular Effects. No studies were located regarding dermal/ocular<br />

effects in humans after oral exposure to barium. In studies with Sprague-<br />

Dawley rats, both ocular discharge following acute oral exposure to barium<br />

chloride (Borzelleca et al. 1988) and a nonsignificant increase in retinal<br />

dystrophy following intermediate and chronic oral exposure to an unspecified<br />

barium compound (McCauley et al. 1985) have been observed. Although the<br />

retinal dystrophy was statistically insignificant, a dose-related trend was<br />

observed if different duration exposure groups were combined (McCauley et al.<br />

1985). Both ocular discharge and retinal dystrophy are commonly observed in<br />

Sprague-Dawley rats; consequently, the ocular lesions noted in these animal<br />

studies can not necessarily be attributed to oral barium exposure.<br />

Other Systemic Effects. In one human case study involving accidental<br />

acute ingestion of barium carbonate by an adult female, some degeneration of<br />

the spleen was noted post-mortem (McNally 1925). Body weight has been<br />

monitored in a number of acute, intermediate, and chronic studies in which

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