“…The onset of arsenic neuropathy can be acute, as in arsenic poisoning or during treatment of APL with arsenic trioxide (Kühn, Sammartin, Nabergoj, & Vianello, 2016); chronic, as in environmental arsenic exposure; or acute-on-chronic, as in ORAI (Dani, 2013). The diagnosis of acute arsenic neuropathy is straightforward and based on the association of gastrointestinal disorders, encephalopathy and mood disorders (Bahiga, Kotb, & El-Dessoukey, 1978;Campbell & Alvarez, 1989;Ratnaike, 2003). Acute arsenic intoxication is strongly related to symmetrical peripheral neuropathy in the upper and lower limbs, so that the causal relation here is clear (Rodríguez, Jiménez-Capdeville, & Giordano, 2003;Vahidnia, van der Voet, & de Wolff, 2007).…”