Potentially life-threatening emergency
Sulfur dioxide poisoning
Alerts and Notices
Synopsis

Sulfur dioxide poisoning is typically caused by inhalational or airborne exposure to the chemical, which causes burning pain in mucous membranes, lacrimation, cough, and wheezing. It can also exacerbate underlying pulmonary diseases, such as asthma and chronic obstructive pulmonary disease (COPD). Topical exposure to sulfur dioxide can cause a frostbite-like reaction.
Sulfur dioxide poisoning most commonly occurs from occupational exposure in fields such as coal and metal refining and chemical processing. Sulfur dioxide causes irritation and toxicity because of the formation of sulfurous acid when sulfur dioxide comes in contact with skin and mucous membranes.
Sulfur dioxide poisoning is treated symptomatically with oxygen supplementation, bronchodilators, and intubation in severe cases.
Sulfur dioxide poisoning most commonly occurs from occupational exposure in fields such as coal and metal refining and chemical processing. Sulfur dioxide causes irritation and toxicity because of the formation of sulfurous acid when sulfur dioxide comes in contact with skin and mucous membranes.
Sulfur dioxide poisoning is treated symptomatically with oxygen supplementation, bronchodilators, and intubation in severe cases.
Codes
ICD10CM:
T59.1X4A – Toxic effect of sulfur dioxide, undetermined, initial encounter
SNOMEDCT:
216857007 – Accidental poisoning by sulfur dioxide
T59.1X4A – Toxic effect of sulfur dioxide, undetermined, initial encounter
SNOMEDCT:
216857007 – Accidental poisoning by sulfur dioxide
Look For
Subscription Required
Diagnostic Pearls
Subscription Required
Differential Diagnosis & Pitfalls
- Reactive airway disease
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Interstitial lung disease / pulmonary fibrosis
- Pneumoconiosis (eg, silicosis, asbestosis)
- Bronchitis (acute, chronic)
- Pneumonia (eg, viral, bacterial)
- Pulmonary edema
- Acute respiratory distress syndrome
- Tuberculosis
- Other inhalational poisoning (eg, carbon monoxide, chlorine, nitrogen dioxide)
- Hypersensitivity pneumonitis
- Allergic bronchopulmonary aspergillosis
- Bronchiectasis
- Smoke inhalation injury
- Cholinergic syndrome
Best Tests
Subscription Required
Management Pearls
Subscription Required
Therapy
Subscription Required
References
Subscription Required
Last Reviewed:04/04/2019
Last Updated:04/04/2019
Last Updated:04/04/2019