Oral exposure
Triphasic course
Rapid and fulminant
Symptoms can occur within minutes and death can occur with 1-4 hours
GI
Abdominal pain
Diarrhea
Nausea and vomiting
Caustic esophageal and gastric burns
Some patients have a garlic odor
Myopathic
Weakness
Hyporeflexia
Myoclonus
Fasciculations
Elevated CPK
Renal insufficiency
Delirium and coma
Circulatory symptoms
Dyspnea
Chest pain
Tachycardia
Hypotension
Toxic cardiomyopathy
EKG abnormalities
ST elevation
Prolonged QT
T wave inversions
Pulmonary edema
Ventricular dysrhythmias
Myocardial infarction
Mesenteric infarction
Metabolic acidosis
Inhalation
Hydrogen selenide
Throat and eye pain
Rhinorrhea
Wheezing
Pneumomediastinum
Restrictive and obstructive pulmonary disease<unk>  dioxide and<unk>  oxide
Forms<unk>  acid in presence of water in respiratory tract
Bronchospasm
Hypotension
Tachycardia
Tachypnea
Chemical pneumonitis
Fevers
Vomiting and diarrhea
Dermal
Caustic burns
Ophthalmic
Corneal injuries
Lacrimation
Conjunctival edema
Triphasic course
Rapid and fulminant
Symptoms can occur within minutes and death can occur with 1-4 hours
GI
Abdominal pain
Diarrhea
Nausea and vomiting
Caustic esophageal and gastric burns
Some patients have a garlic odor
Myopathic
Weakness
Hyporeflexia
Myoclonus
Fasciculations
Elevated CPK
Renal insufficiency
Delirium and coma
Circulatory symptoms
Dyspnea
Chest pain
Tachycardia
Hypotension
Toxic cardiomyopathy
EKG abnormalities
ST elevation
Prolonged QT
T wave inversions
Pulmonary edema
Ventricular dysrhythmias
Myocardial infarction
Mesenteric infarction
Metabolic acidosis
Symptoms can occur within minutes and death can occur with 1-4 hours
Abdominal pain
Diarrhea
Nausea and vomiting
Caustic esophageal and gastric burns
Some patients have a garlic odor
Weakness
Hyporeflexia
Myoclonus
Fasciculations
Elevated CPK
Renal insufficiency
Delirium and coma
Dyspnea
Chest pain
Tachycardia
Hypotension
Toxic cardiomyopathy
EKG abnormalities
ST elevation
Prolonged QT
T wave inversions
Pulmonary edema
Ventricular dysrhythmias
Myocardial infarction
Mesenteric infarction
Metabolic acidosis
Toxic cardiomyopathy
ST elevation
Prolonged QT
T wave inversions
Hydrogen selenide
Throat and eye pain
Rhinorrhea
Wheezing
Pneumomediastinum
Restrictive and obstructive pulmonary disease<unk>  dioxide and<unk>  oxide
Forms<unk>  acid in presence of water in respiratory tract
Bronchospasm
Hypotension
Tachycardia
Tachypnea
Chemical pneumonitis
Fevers
Vomiting and diarrhea
Throat and eye pain
Rhinorrhea
Wheezing
Pneumomediastinum
Restrictive and obstructive pulmonary disease
Forms<unk>  acid in presence of water in respiratory tract
Bronchospasm
Hypotension
Tachycardia
Tachypnea
Chemical pneumonitis
Fevers
Vomiting and diarrhea
Caustic burns
Corneal injuries
Lacrimation
Conjunctival edema
No deaths from chronic exposures
Seen in those taking nutritional supplements and in rural areas with farmland that has high<unk>  levels
Alopecia with brittle hair
Fatigue
Nail deformities
Pruritic scalp rash
Blistered skin with persistent red color
Neurologic
Hyperreflexia
Paresthesia
Anesthesia
Hemiplegia
Hyperreflexia
Paresthesia
Anesthesia
Hemiplegia
Selenium toxicity
Aluminum toxicity
Mercury toxicity
Antimony toxicity
Copper toxicity
Arsenic toxicity
Gold toxicity
Barium toxicity