Among sprayers who had used only pyrethroids, a significant trend was observed between cumulative pesticide exposure and abnormal glucose regulation. 23 In another study from China that included 176 children aged 0–14 years and 180 controls, those with the highest quartile of total and individual metabolites had a two-fold increase in the risk of acute lymphocytic leukemia compared with those in the lowest quartiles. 24 MANAGEMENT The diagnosis of pyrethroid poisoning is based mainly on the clinical presentation and compound identification on the container brought by the patient or relatives.
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