Occupational arsine gas exposure.

Arsine gas exposure is a rare occupational event and can be completely prevented with the use of appropriate protective gear. Exposure often occurs when arsine gas is generated while arsenic-containing crude ores or metals are treated with acid. Cases of toxicity require an index of suspicion and a good history. In particular, it should be in the differential diagnosis in patients who present acutely with red/bronze skin and hemoglobinuria. Treatment is supportive and may include transfusions and dialysis in severe cases. Clinical severity is proportionate to the level of exposure, and severity is directly related to the onset of symptoms.