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Paralysis, atrophy, thickened nails, and pigmentation in arsenic poisoning

Complete paralysis of the lower extremities with marked atrophy, thickened nails, and mild pigmentation of skin in a woman poisoned with arsenic-contaminated beer. (Source: Kelynack TN, Kirkby W. Arsenical poisoning in beer drinkers. London: Baillière, Tindall and Cox, 1901. Public domain.)

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