{"entities":{"Q40241":{"pageid":30609,"ns":120,"title":"Item:Q40241","lastrevid":127825,"modified":"2026-08-13T05:58:16Z","type":"item","id":"Q40241","labels":{"mul":{"language":"mul","value":"6D85.2"},"pt-br":{"language":"pt-br","value":"Dem\u00eancia devida \u00e0 exposi\u00e7\u00e3o a metais pesados ou outras toxinas"},"en":{"language":"en","value":"Dementia due to exposure to heavy metals or other toxins"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Dem\u00eancia devido \u00e0 exposi\u00e7\u00e3o a metais pesados \u200b\u200be outras toxinas causadas pela exposi\u00e7\u00e3o t\u00f3xica a metais pesados \u200b\u200bespec\u00edficos, como alum\u00ednio da \u00e1gua de di\u00e1lise, chumbo, merc\u00fario ou mangan\u00eas. As defici\u00eancias cognitivas caracter\u00edsticas na dem\u00eancia devido \u00e0 exposi\u00e7\u00e3o a metais pesados \u200b\u200be outras toxinas dependem do metal pesado ou toxina espec\u00edfica a que o indiv\u00edduo foi exposto, mas podem afetar qualquer dom\u00ednio cognitivo. O in\u00edcio dos sintomas est\u00e1 relacionado \u00e0 exposi\u00e7\u00e3o e a progress\u00e3o pode ser r\u00e1pida, especialmente com exposi\u00e7\u00e3o aguda. Em muitos casos, os sintomas s\u00e3o revers\u00edveis quando a exposi\u00e7\u00e3o \u00e9 identificada e cessa. Investiga\u00e7\u00f5es como neuroimagem ou testes neurofisiol\u00f3gicos podem ser anormais. O envenenamento por chumbo est\u00e1 associado a anormalidades nas imagens cerebrais, incluindo calcifica\u00e7\u00e3o generalizada e aumento do sinal nas imagens ponderadas em T2 na resson\u00e2ncia magn\u00e9tica da subst\u00e2ncia branca periventricular, n\u00facleos da base, hipot\u00e1lamo e ponte. A dem\u00eancia devido \u00e0 toxicidade por alum\u00ednio pode demonstrar altera\u00e7\u00f5es caracter\u00edsticas parox\u00edsticas delta de alta voltagem no EEG. O exame f\u00edsico pode evidenciar outras caracter\u00edsticas, como neuropatia perif\u00e9rica, no caso de chumbo, ars\u00eanico ou merc\u00fario."},"en":{"language":"en","value":"Dementia due to exposure to heavy metals and other toxins caused by toxic exposure to specific heavy metals such as aluminium from dialysis water, lead, mercury or manganese. The characteristic cognitive impairments in Dementia due to exposure to heavy metals and other toxins depend on the specific heavy metal or toxin that the individual has been exposed to but can affect any cognitive domain. Onset of symptoms is related to exposure and progression can be rapid especially with acute exposure. In many cases, symptoms are reversible when exposure is identified and ceases. Investigations such as brain imaging or neurophysiological testing may be abnormal. Lead poisoning is associated with abnormalities on brain imaging including widespread calcification and increased signal on MRI T2-weighted images of periventricular white matter, basal ganglia hypothalamus and pons. Dementia due to aluminium toxicity may demonstrate characteristic paroxysmal high-voltage delta EEG changes. Examination may make evident other features such as peripheral neuropathy in the case of lead, arsenic, or mercury."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"7749ad572504f4e7158122414f0ce9404f27611b","datavalue":{"value":"https://id.who.int/icd/entity/710305644","type":"string"},"datatype":"url"},"type":"statement","id":"Q40241$9F22BD93-04CB-43D3-9501-C813735346EA","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"58b72edefda8c281db87c3d20d6cef4c2665bf8e","datavalue":{"value":"CID11:6D85.2","type":"string"},"datatype":"string"},"type":"statement","id":"Q40241$7AAE318B-3130-4AC9-BBB4-3B3EECBF38E9","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"7a71b9548640365930ecb31da7d95ce8d266fe93","datavalue":{"value":"dki-india-6D85.2","type":"string"},"datatype":"string"},"type":"statement","id":"Q40241$70702F63-2EED-462A-BF7D-293CB25E648D","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q40241$A081A421-4DB5-47E6-A984-027BBEB6AFC4","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q40241$E3DD7378-B95C-40D9-B952-ABBC4E1099E1","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q40241$0CEB116D-4E74-4051-922B-145BD94AC868","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"5b7188ef12e5625cbd9f86a2f2b187883ac195e5","datavalue":{"value":{"entity-type":"item","numeric-id":15838,"id":"Q15838"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q40241$DDA599AA-4F35-4FD5-9F6A-6DC163E6B49C","rank":"normal"}]},"sitelinks":{}}}}