“…During the last 30 years (i.e., since the beginning of the mining activities in 1987), this patient has been chronically exposed to the inorganic arsenic released from the rocks of the gold mine. The already meaningful CAsE since 1987 increased from 2007 with the controversial expansion of the mine operations (Acangau Foundation, 2009;Boudaoud & France TV, 2017;Dani, 2009bDani, , 2009cDani, , 2009dDani, 2011aDani, , 2011bDani, 2012;Dani, 2014;Dani & Santos, 2014;Enríquez, 2007;KGC, 2006KGC, , 2010KGC, , 2012KGC, , 2014KGC, , 2015KGC, , 2016aKGC, , 2016bLisboa, 2015;Lukacs & Groves, 2013;Minas Gerais, 2007;Moura, Rezende, Nascentes, Costa, & Windmoeller, 2008;MPF, 2009;MPT, 2008;Neiva & Silveira, 2008;Ono et al, 2011;Ono, Tappero, Sparks, & Guilherme, 2016;Rezende, 2009;Rezende, Costa, & Windmöller, 2015;Santos, 2012;Santos & Dani, 2016;Terrier, 2011). The patient complained of chronic headache, abdominal pain, pruriginous dark skin lesions of the feet, poor vision, symmetrical numbness and tingling of her hands and feet, bronchitis, arterial hypertension and malaise.…”