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Dames & Moore, 1999 - USDA Forest Service

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Constituent<br />

Beryllium<br />

Cadmium<br />

Acute Toxicity Summary<br />

Acute lung disease (cheinical pneumonitis) has been<br />

observed immediately after inhalation of aerosols of<br />

.soluble and insoluble beryllium compounds in broken<br />

fluorescent light tubes. Several months after exposure the<br />

entire respiratory tract may become inflamed with<br />

fulminating pneumonitis in severe reactions. Recoveries<br />

usually occur within weeks, but fatalities have occurred.<br />

In studies with monkeys, high concentrations of aerosols of<br />

beryllium fluoride or beryllium phosphate produced severe<br />

lung reactions in all animals and damaged the liver and<br />

kidney as well as affecting adrenals, pancreas, thyroid, and<br />

spleen; many lesions were similar to those inpatients who<br />

died of pneumonitis. Conjunctivitis and contact dermatitis<br />

may follow exposure to beryllium, with skin lesions or<br />

ulcerations. Beryllium compounds may produce<br />

hypersensitivity with delayed allergic reactions.<br />

For acute exposure by ingestion, symptoms of cadmium<br />

toxicity included nausea, vomiting, diarrhea, muscular<br />

cramps, salivation, spasms, drop in blood pressure, vertigo,<br />

loss of consciousness, and collapse. Acute renal kilure,<br />

liver damage, and death may occur. Exposure by<br />

inhalation can cause irritation, coughing, labored<br />

respiration, vomiting, acute chemical pneumonitis, and<br />

pulmonary edema.<br />

TABLE 7.1-44 (CONTINUED)<br />

TOXICITY PROFILES FOR INDICATOR HAZARDOUS SUBSTANCES<br />

Chronic Toxicity Summary<br />

The lung is a major target organ for toxic<br />

effects of beryllium. Berylliosis, a chronic<br />

granulomatous lung disease that is frequently<br />

fatal, has been described for over 40 years<br />

among workers exposed to insoluble<br />

beryllium compounds; symptoms may<br />

include shortness of breath, cyanosis,<br />

clubbed fingers, and lesions that progress to<br />

fibrotic tissue and nodules with respiratory<br />

dysfunction.<br />

Respiratory and renal toxicity are major<br />

effects in workers. Chronic oral exposures<br />

can produce kidney damage. Cadmium<br />

accumulates in kidney, and nephropathy<br />

results after critical concentration in kidney<br />

is reached, probably about 200 glg.<br />

Inhalation can cause chronic obstructive<br />

pulmonary disease, - including bronchitis,<br />

progressive fibrosis, and emphysema.<br />

Chronic exposure affects calcium<br />

metabolism and can cause loss of calcium<br />

from bone, bone pain, osteomalacia, and<br />

osteoporosis. Chronic exposure may be<br />

associated with hypertension. Cadmium can<br />

produce testicular atrophy, sterility, and<br />

teratogenic effects in experimental animals.<br />

Cancer Potential<br />

Beryllium compounds or alloys<br />

have produced cancer in rats,<br />

rabbits, and monkeys. Lung<br />

tumors have been reported in dts<br />

and monkeys exposed by<br />

inhalation, intratracheally, or<br />

intrabronchial implantation, and<br />

bone tumors have been produced<br />

in rabbits after intravenous or<br />

intraosseus administration.<br />

Excess lung cancer has been<br />

observed in some studies of<br />

workers occupationally exposed<br />

to beryllium, but data on exposure<br />

and confounding factors were<br />

lacking. Beryllium and its<br />

compounds have been classified<br />

by IARC as having sufficient<br />

evidence of being carcinogenic in<br />

animals and limited evidence in<br />

humans, and by EPA as a<br />

probable human carcinogen.<br />

Some beryllium compounds are<br />

mutagenic in vitro.<br />

Increased risk of prostate cancer<br />

and perhaps respiratory tract<br />

cancer have been seen in workers<br />

exposed by inhalation. No<br />

evidence of carcinogenicity from<br />

chronic oral exposure exists.<br />

Other<br />

Wide variations in individual<br />

sensitivity have been reported, perhaps<br />

because of an immune reaction;<br />

individuals exposed to low doses may<br />

exhibit severe effects. Beryllium is<br />

stored in the body for many years with<br />

detectable amounts in lung reported as<br />

long as 23 years after exposure. .

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