In order to identify arsenic as one of the major factors that cause Blackfoot disease on the southwest coast of Taiwan, an atomic absorption spectrophotometric method was used to determine arsenic, selenium and iron concentrations in the tissue of plantar digital arteries. Samples from 31 patients with Blackfoot disease and 30 controls with road traffic accident or occupational injuries were studied. The results indicate that the arterial tissue from Blackfoot disease patients had higher arsenic concentration (3.06+/-1.42 microg/g) than that from healthy controls (0.59+/-0.28 microg/g). The variability was very large 418% at p<0.001. It was also noted that the concentrations of selenium (1.23+/-0.41 microg/g and 1.05+/-0.13 microg/g in patients and controls respectively; with variability 17.1%) and iron (72.7+/-34.9 microg/g and 35.2+/-16.5 microg/g in patients and controls respectively; with variability 106.5%) were both higher than those of controls. However, only the iron concentration was significantly different (p<0.05).

An atomic absorption spectrophotometer was used to determine concentrations of copper and zinc and the ratio of Cu to Zn in samples of whole blood and hair from hepatocellular carcinoma (HCC) patients (n ¼ 51) and from healthy controls (n ¼ 50) in Taiwan. Our results indicate that the HCC patients have higher copper concentrations and higher ratios of Cu to Zn than do the healthy controls both in whole blood and hair samples, but only the concentration of copper and the ratio of Cu to Zn in whole blood were significantly different (p , 0.001 and p , 0.05). Conversely, a lower concentration of zinc was found in whole blood and hair samples of HCC patients. Similarly, only the concentration of zinc in whole blood showed a significant difference (p , 0.001). We concluded that the whole blood concentrations of copper and zinc and the ratio of Cu to Zn seemed to have a higher correlation with HCC. Thus, we suggest that a sample of whole blood may be a more suitable diagnostic sample than is a hair sample for HCC.

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