Thallium Poisoning: Diagnosis May Be Elusive But Alopecia Is The Clue

Thallium poisoning was difficult to diagnose but alopecia served as a crucial indicator, as seen in two male patients who ingested thallium-laced tea. Symptoms included abdominal pain, muscle weakness, and hair loss, leading to a delayed diagnosis confirmed by lab tests. Treatment with Berlin blue reduced thallium's elimination half-life from 8 to 3 days, aiding recovery. One patient remained dependent on walking aids despite physiotherapy, while the other regained mobility with reduced exercise capacity. The study emphasized early diagnosis, treatment, and the importance of supportive care and physiotherapy, noting alopecia as a key diagnostic clue.