A man who is working in marine timbers presented with a paicular appearance on nails which is diagnosed as Mee's lines. Mee's lines are seen in poisoning with:
Dermatologic effects of Arsenic poisoning: Findings occasionally appear after a delay of 1-6 weeks. Desquamation (paicularly involving the palms and soles) A diffuse maculopapular rash Periorbital edema Transverse white striae in the nails (Aldrich-Mees lines) may become apparent months after an acute intoxication. Ref: Kosnett M.J. (2012). Chapter 24. Arsenic. In K.R. Olson (Ed), Poisoning & Drug Overdose, 6e.
Arsenic
Lead
Mercury
Copper