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Mineral Tolerance of Domestic Animals (1980)
Board on Agriculture (BOA)

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24
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Antimony Antimony (Sb) is a lustrous, silver-white metal with a bluish tinge that is classified with arsenic and bismuth as a Group VA metal in the periodic table. Very little antimony occurs free in nature, and most is derived from the principal antimony ore, stibnite (Sb2S3), which con- tains 71 to 75 percent of this element when nearly pure. Abundant deposits are found in China, Mexico, Bolivia, Algeria, Portugal, and France. Other valuable antimony ores include cervantite (Sb2O4), valentinite (S~03), and kermesite (Sb2S2O). Mean antimony concen- tration in the earth's crust has been estimated to be 0.2 ppm (Schroeder, 1973~. Metallic antimony was used in the manufacture and plating of vases and household vessels as early as 4000 B.C. (Mellor, 1939) and as a constituent of ancient bronzes in the fifth or sixth Egyptian Dynasty (Fink and Kopp, i933~. Use of stibnite as a cosmetic (Kohl) is referred to in the Old Testament and in early Chinese and Arabic writings. Industrial uses are diverse, but a major portion serves as a constituent of alloys with lead, tin, and copper. Lead-antimony alloys are used in storage battery grids, pewter, printer's type, lead shot, lead electrodes, cable coverings, foil, and solder. The trisulfide (Sb2S3) and pentasulfide (Sb2Ss) are used in the compounding of rubber. Antimony trioxide (Sb2O3) is used as a textile dye, and lead antimonate EPb3(SbO4 )2] as a paint pigment. Oxides are used as opacifiers in enamels and as de- colorizing and refining agents in glass maufacture. An important phar- maceutical compound is tartar emetic, potassium antimony! tartrate 24

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Antimony 25 (KSbC4H;O7-~/~H2O), which has been used for years in the treatment of schistosomiasis. ESSENTIALITY Antimony has no known essential metabolic function in living or- ganisms, and Liebscher and Smith (1968) have used this mineral as a model for nonessential elements. Thiol-containing enzymes are inhib- ited in vitro by antimony salts. The possibility of similar enzyme inhibi- tions in vivo and the affinity of trivalent antimony for erythrocytes may be significant for the effectiveness of antimony tartrates in treatment of schistosomiasis. METABOLISM Soluble antimony compounds, such as antimonites and tartrates, are slowly absorbed from the alimentary tract. Waitz et al. (1965) reported that ingestion of potassium antimony! tartrate by monkeys, rats, and mice led to greater fecal than urinary excretion, and these workers concluded that gastrointestinal absorption was poor. Felicetti et al. (1974) found that very little of either trivalent or pentavalent antimony tartrate was absorbed by hamsters from a Savage. About 2 percent of the initial body burden was present 4 days later, and nearly two-thirds of this was found in the gastrointestinal tract. Antimony halides are hydrolyzed to oxides in the alimentary tract and are apparently not absorbed. The metabolic behavior of antimony is affected by its valence state. Trivalent antimony concentrates in the liver of all species studied (Brady et al., 1945; Djuric et al., 1962; Gellhorn et al., 1946; Otto et al., 1947; Otto and Maren, 1950; Rowland, 1968; Tarrant et al., 1971; Thomas et al., 1973), in the thyroid and parathyroid of dogs (Brady et al., 1945), and in the erythrocytes of many species, including man (Otto and Maren, 1950; Otto et al., 1947~. Hair, skin, and skeletal accumula- tions of trivalent antimony have been reported in mice (Molokhia and Smith, 1969; Thomas et al., 1973) and hamsters (Felicetti e! al., 1974~. Pentavalent antimony has a lesser affinity for the liver than does triva- lent antimony and accumulates more in the spleen (Gellhorn et al., 19461. Human erythrocytes do not concentrate antimony in the penta- valent state (Otto et al., 19471. In most rodents, trivalent antimony is excreted primarily in the feces and pentavalent primarily in the urine

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26 MINERAL TOLERANCE OF DOMESTIC ANIMALS (Otto and Maren, 1950), but in humans, both valence states of antimony are excreted in the urine (Otto et al., 19471. SOURCES Potentially toxic exposures occur as a consequence of industrial pro- cessing and use of antimony, preparation, or storage of food in con- tainers improperly glazed with an antimony enamel and accidental ingestion or parenteral administration of excessive doses of antimony compounds. The most common industrial exposures to antimony are during the mining, smelting, and refining of the ore; in the production of alloys; in the manufacture of abrasives; and in type-setting (Browning, 19691. Inhalation of antimony-containing dusts or fames constitute the main hazard, and the American Conference of Industrial Hygienists has set a threshold limit of 0.5 mg/m3 of air. Stibine (SbH3 ~ is a colorless gas evolved when certain antimony alloys are treated with acid and subjected to electrolysis (e.g., during the charging of storage batteries). Stibine is also released when some antimony compounds are treated with steam, or when nascent hydrogen comes into contact with metallic antimony or a soluble antimony compound. The threshold limit for stibine in air for an 8-hour working day has been set at 0.1 mg per liter. Antimony trioxide is frequently used as an opacif~er in vitreous coatings. Enamel glazes of this type, particularly if low in silica, are readily attacked by acids of foodstuffs. Monier-Williams (1925, 1934) found that exposure of enamelled containers to a 1 percent solution of citric acid dissolved 0.01 g of antimony per liter. Published studies of antimony levels in foods or animal feedstuffs are few. Murthy et al. (1971) analyzed the total diets for 7 days of institu- tionalized children in 28 localities in the United States. Intakes varied from 0.25 to 1.28 mg antimony per day, and dietary concentrations ranged from 0.21 to 0.69 ppm. Hamilton and Minski (1972/1973) ana- lyzed adult English diets and found a mean intake of 34 ,ug/day. These workers also noted that the proportion of refined foods in the diet may influence such values, since brown sugar contained 0.08 ppm antimony and refined white sugar contained <0.002 ppm.

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Antimony TOXICOSIS LOW LEVELS Oral 27 The dietary concentration of antimony that induces toxicosis is depen- dent upon valence state, pentavalent compounds being less irritating than trivalent compounds (Goodwin, 19441. Bradley and Fredrick (1941) reported that rats fed potassium antimony! tartrate in increasing daily doses over 12 months grew normally on amounts up to 100 mg/kg body weight (36.5 mg/kg antimony), but cardiac pathology was evident. Antimony metal up to 1 g/kg body weight produced similar effects. Pribyl (1927) fed rabbits 15 mg of potassium antimony! tartrate per kilogram body weight (5.5 mg/kg antimony) and found increased con- centrations of nonprotein nitrogen in blood and urine. After 5 to 20 days, icterus was noted and some individuals showed fatty degenera- tion and parenchymal necrosis of the liver. Wieland (1937) found no pathology in rabbits fed 2 to 6 mg potassium antimony! tartrate per kg body weight (0.7 to 2.2 mg/kg antimony). Lifetime studies (Schroeder et al., 1968) with mice showed that 5 ppm antimony as potassium antimony! tartrate in drinking water reduced mean life span of females slightly. No evidence of carcinogenesis or tumorigenesis was obtained. Inhalation Guinea pigs were exposed by Dernehl et al. (1945) to a dust concentra- tion of antimony trioxide of 45.4 mg/m3 of air (19 mg/m3 antimony) for 2 hours daily, 7 days a week for 3 weeks, followed by 3 hours daily exposure. All animals showed extensive interstitial pneumonitis, and 4 died. No electrocardiogram changes were evident, but 11 out of 15 guinea pigs having 138 or more hours of exposure showed fatty degen- eration of the liver. There was also a leucocytopenia, a polymorpho- nuclear neutrophilopenia, and a relative Iymphocytosis. Gross et al. (1951) exposed rats to antimony trioxide for periods up to 14 months and induced a chronic lipoid pneumonia. The lipoid deposits were intra-alveolar with some perifocal fibrosis. Briegeret al. (1954) exposed rabbits to the dust of antimony trisulfide in a concentration of S.6 mg/m3 of air (2 mg/m3 antimony), 7 hours per day, 5 days per week for 6 weeks. The lungs showed a mild degree of venous congestion and areas of focal hemorrhage. Higher concentra- tions of 27.8 mg/m3 of air (10 mg/m3 antimony) induced lung inflamma-

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28 MINERAL TOLERANCE OF DOMESTIC ANIMALS lion. Slight to moderate myocardial damage produced changes in the T waves. In some rabbits the myocardium was flabby and dilated, with swelling of the fibers and granular cytoplasmic inclusions. Dogs ex- posed by Brieger et al. (1954) to 5.3 and 5.6 mg antimony trisulfide per cubic meter of air (1.9 to 2.0 mg/m3 antimony) were not affected adversely. Industrial poisoning of humans by antimony may not be clear-cut, since industrial antimony usually contains other substances, such as arsenic, and toxic signs and symptoms are somewhat similar. Renes (1953), in a study of mining, concentrating, and smelting stibnite, found air concentrations of antimony to be 4.7 to 11.8 mg/m3, while arsenic concentrations were 0.4 to 1.1 mg/m3. Early signs of arsenical poisoning were absent, and he concluded that the illness observed was due to the antimony. Renes (1953) suggested that apparent differences in the toxicity of antimony in different industrial settings may be related to particle size. In his study, particle size was usually less than 1 ,um. Bulmer and Johnston (1948) found no ill health in humans working in a laboratory where antimony tr~sulf~de was crushed and ground. Particles were small but not as minute as in a fume. Two men were exposed for a year to air antimony concentrations of 52 mg/m3. Schrumpf and Zabel (1910) described a variety of symptoms in 15 to 20 percent of type- setters, including irritability, fatigue, pains in the limbs, anorexia, and gastrointestinal complaints. Gocher (1945) noted muscular pains, head- ache, dizziness, and oppression in the chest. Fei! (1939) and Renes (1953) recorded laryngitis and tracheitis in antimony smelters. The latter researcher also observed abdominal cramps, diarrhea, vomiting, dizziness, nerve tenderness and tingling, severe headaches, and pros- tration. Acutely ill individuals showed pneumorutis but no peripheral parenchymal pulmonary damage. Removal from exposure and treat- ment with penicillin aerosols rapidly alleviated the symptoms. Fell (1939) found a characteristic skin eruption in foundry workers in which the eruption was pustular, sometimes covered with a crust (like the lesions of chickenpox) and present on limbs, face, and chest. There was also some irritation of eyes and throat, some gingivitis, and clinical appearance of anemia. Briegeret al. (1954) studied men in a plant where resinoid grinding wheels were manufactured and where antimony tri- sulfide had replaced lead for the preceding 2 years. Air concentrations of antimony varied between 0.6 and 5.5 mg/m3, with most above 3.0. Several men had died of heart attacks, and 35 out of 75 men examined electrocardiographically showed abnormalities, mostly in the T waves.

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Antimony HIGH LEVELS Oral 29 Acute toxicosis in rabbits was studied by Oelkers (1937), who found that a single oral dose of 125 mg of potassium antimony! tartrate per kilogram of body weight (46 mg/kg antimony) was fatal in all cases; 120 mg/kg of body weight (44 mg/kg antimony) was almost certainly fatal in 24 to 36 hours; and 115 mg/kg of body weight (42 mg/kg antimony) killed 50 percent of the animals. In oral studies with rats, Bradley and Fred- rick (1941) found the minimum lethal dose of potassium antimony! tartrate expressed as antimony was 300 mg/kg of body weight. Franz (1937) described centrolobular fatty degeneration of the liver and de- generative changes in the kidneys of rats. Monier-Williams (1934) reported that in 1928 there was an outbreak of sickness in Newcastle-on-Tyne in 56 individuals who had drunk lemonade made in white enamelled buckets. A drinking glass of lemon- ade was found to contain the equivalent of about 100 mg potassium antimony! tartrate (36.5 mg antimony). Symptoms reported included a burning sensation in the stomach, colic, nausea, vomiting, and col- lapse. The usual emetic dose of potassium antimony! tartrate is about 30 to 60 mg (11 to 22 mg antimony). Injection Bradley and Frednck (1941) established the ~D50 for antimony metal and five antimony compounds administered intraperitoneally to the rat. These values (per kilogram of body weight) were 100 mg of antimony metal, 3,250 mg of antimony trioxide (1,360 mg antimony), 4,000 mg of antimony pentoxide (1,500 mg antimony), 1,000 mg of antimony tnsul- fide (360 mg antimony), 1,500 mg of antimony pentasulfide (450 mg antimony), and 11 mg of potassium antimony! tartrate (4 mg antimony). Animals dying within a few days showed loss of weight, general weak- ness, loss of hair, dyspnea, and myocardial insufficiency. At necropsy, myocardial congestion and dilatation of the nght heart were prominent. There was little change in the lungs. The livers were congested and showed some degeneration and polymoIphonuclear inf~ltration. Toxic glomerular nephritis was present most markedly in rats receiving the tartrate, while metallic antimony produced moderate splenic hyper- plasia with some eosinophilia. Seitz (1924) reported that subcutaneous injections of rabbits and

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30 MINERAL TOLERANCE OF DOMESTIC ANIMALS guinea pigs with 53 mg of metallic antimony per kilogram of body weight produced a mild polycythemia and eosinophilia. The LD50 of a single subcutaneous injection of antimony compounds in mice was found (Ercoli, 1971) to be (per kilogram of body weight) 48 mg for sodium antimony} tartrate (19 mg antimony), 55 mg for potassium antimony! tartrate (20 mg antimony), 390 mg for a chelate of sodium antimony! tartrate and 3-mercaptovaline (pen~cillam~ne) (57 mg antimony), 2,000 mg for stibocaptate (500 mg antimony), and 670 mg for stibophen (110 mg antimony). Cotton and Logan (1966) noted that potassium antimony! tartrate injected intravenously into dogs at the rate of 64 mg/kg of body weight (23.3 mg/kg antimony) depressed car- diac contractile force and induced bradycardia. Potassium antimony! tartrate has been administered frequently intra- venously for treatment of human schistosom~asis and leishmaniasis. Usual dosage has been 20 to 25 mg/kg of body weight (7 to 9 mg/kg antimony) for 20 days. Symptoms of acute intoxication foliow~ng thera- peutic intravenous injection have been occasionally reported. They include headache, giddiness, sore throat, a metallic taste in the mouth, cough, nausea, diarrhea, tachycardia, muscular stiffness and debility (Strong, 1942~. Cardiac arrhythmias resulting in death have been re- ported numerous times (Ming-Hsin et a]., 1958~. Khalil (1931) noted bradycardia (both acute and of short duration, and chronic) during a course of injections, returning to normal when they were discontinued. Mainzer and Krause (1940) concluded that this is not due to vagal stimulation, but to a direct toxic action of antimony on the heart mus- cle. Ming-Hsin et al. (1958) suggested that the cardiac disturbance is a combined effect of autonom~c system dysfunction caused by antimony inhibiting the cerebral cortex and inducing hyperexcitability of the myocardium. Gastrointestinal disturbances and mild jaundice com- monly appear 2 to 3 weeks after a course of injections (Chopra, 1927~. A frequent sequel of antimony administration is pneumonia (Cushny, 1941~. Papular skin eruptions are also sometimes seen following re- peated injections. Inhalation Stibine (SbH3,) toxicity closely resembles that of arsine, death occurring rapidly on exposure to concentrations of 1 percent in air. It is a power- ful hemolytic poison. The lethal dose for white mice was estimated to be 100 mg/1 (98 mg/1 antimony) for 1 hour and 40 niinutes (Stock and Guttman, 1904), and for week-old chicks, 25 to 30 mg/1 (Steele et al.,

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Antimony 31 1944~. The hemolytic effect has been described by Webster (1946) and Dunn and Webster (19451. Webster (1946) found a single exposure to 40 to 45 mg/1 for 1 hour was dangerous for dogs and cats, death occurring within a few hours to a day. These concentrations produced marked hemoconcentration but no hemoglobinur~a. In guinea pigs, ery- throcytes underwent morphological change (crenation) within a few minutes after exposure. Exposure of guinea pigs to 65 mg/1 stibine (63 m&/1 antimony) for 1 hour produced hemogiobinuna, and anemia fol- lowed in a few days. With 92 mg/1 (90 mg/1 antimony), animals died on the second to sixth days with casts in the renal tubules. Although the threshold Knot of stibine in ear for man has been set at 0.1 mg/1, no chronic stibine poisoning has been reported. Several cases of toxicity have been reported (Dernehl et al., 1944; Nau et al., 1944) from a mixture of gases including arsine, hydrogen sulfide, and stibine. These were liberated when water was added to a hot dross containing aluminum, compounds of arsenic and antimony, and an excess of free sulfur. Affected individuals experienced severe headache, nausea, weakness, abdominal and lumbar pain, hematuria, and profound hemo- lytic anemia. Recovery followed hospitalization and treatment by transfusion and intravenous injection of glucose. FACTORS INFLUENCING TOXICITY The seventy of antimony toxicosis is influenced by the form in which it occurs, the animal species affected, and the route of administration. In general, trivalent antimony is more toxic than pentavalent antimony. Small particles ( OCR for page 32
32 MINERAL TOLERANCE OF DOMESTIC ANIMALS TISSUE LEVELS Using neutron activation, Smith (1967) found median antimony concen- trations in human tissues between 0.05 and 0. 15 ppm (dry basis). High- est levels were found in lungs (0.28 ppm) and hair (0.34 ppm). Liebscher and Smith (1968), also using neutron activation, reported antimony concentrations in 23 different human tissues. These were taken from healthy adults who died as a result of violence and who had no known direct industrial exposure to antimony dust or fumes. They lived and worked in the area of Glascow, Scotland. On a dry basis, highest mean concentrations were found in hair (0.69 ppm), lung (0.4X ppm), and prostate (0.42 ppm). Lowest mean concentrations were found in spleen (0.07 ppm) and ovary (0.07 ppm). However, great variation was evi- dent, e.g., antimony concentration in teeth ranged from 0.005 to 0.665 ppm and in hair from 0.080 to 6.58 ppm. Molokhia and Smith (1967) determined that the apex of the lungs had the highest concentrations and the base of the lungs the lowest. These workers also found that the lymph glands had relatively high antimony concentrations (0.3~0.43 ppm wet weight). Hamilton et al. (1972/1973) reported generally lower antimony concentrations in human tissues than did Smith (1967) and Liebscher and Smith (1968) but similar to those for mouse tissues obtained by Molokhia and Smith (19691. Mean human blood antimony concentrations were 0.005 ppm. Rib antimony was approximately 1.5 ppm in ash. Nixon et al. ( 1967) reported a mean of 0.034 ppm antimony in dental enamel of Scottish subjects and 0.070 ppm for Egyptian sub- jects treated with antimony for hilharzia. Smith (1947), studying the excretion rate of potassium antimony! tartrate in man, found the 5() percent excretion time to be approximately 500 hours. MAXIMUM TOLERABLE LEVELS Data are insufficient to set a dietary maximum tolerable level for anti- mony with precision. Based on limited evidence, a level of 7~150 ppm in the dry diet is suggested for the rabbit. SUMMARY Antimony is a lustrous, white metal classed with arsenic and bismuth (Group VA) in the periodic table. It occurs in nature primarily as

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Antimony 33 stibn~te (Sb2S3) and is extensively used in alloys with lead in storage battery grids and printer's type, as the sulfide in compounding of rub- ber, and as oxides in flame-retarding textiles and in enamel and glass manufacture. Humans may be poisoned by industrial dusts and fumes or by consuming acid food or drink prepared or stored in vessels coated with antimony-containing enamel or glaze. Food and feeds seem gen- erally low in antimony. Trivalent antimony appears to be more toxic than pentavalent antimony, and toxicity from dusts is greater when particle size is small (~1 ,um). Stibine (SbH3 ), released by treatment of antimony with acid, is an extremely toxic hemolytic gas. Animal tox- icity is primarily an experimental phenomenon. Symptoms of illness in humans include anorexia, nausea, abdominal cramps, diarrhea, emesis, muscular pains, nerve tenderness, head- aches, oppression in the chest, pneumonitis, and pustular skin erup- tions. Stibine induces hemolysis and anemia. Antimony has no known essential metabolic function and inhibits thiol-containing enzymes in vitro. Potassium antimony! tartrate has been used extensively in treatment of human schistosomiasis.

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Antimony REFERENCES 37 Bradley, W. R., and W. G. Fredrick. 1941. Toxicity of antimony-animal studies. Ind. Med. 2:15. Brady, F. J., A. H. Lawton, D. B. Corvie, H. L. Andrews, A. T. Ness, and G. E. Ogden. 1945. Localisation of trivalent radioactive Sb following intravenous administration to dogs infected with Diroflaria immitis. Am. J. Trop. Med. 25:103. Brieger, H., C. W. Semisch, J. Stasney, and D. A. Piatnek. 1954. Industrial antimony poisoning. Ind. Med. Surg. 23:521. Browning, E. 1969. Toxicity of Industrial Metals, 2nd ed. Butterworth and Co., Ltd., London. 383 pp. Bulmer, F. M. R., and J. H. Johnston. 1948. Antimony trisulphide. J. Ind. Hyg. 30:26. Chopra, R. N. 1927. Experimental investigation into the action of organic compounds of antimony. Indian J. Med. Res. 15:41. Cotton, M. D., and M. E. Logan. 1966. Effects of Sb on the cardiovascular system and intestinal smooth muscle. J. Pharmacol. 151:7. Cushny, A. R. 1941. Antimony, Pharmacology and Therapeutics, p. 81. Churchill, Lon- don. Dernehl, C. U., F. M. Stead, and C. A. Nau. 1944. Arsine, stibine and H2S. Accidental generation in a metal refinery. Ind. Med. Surg. 13:361. Dernehl, C. U.' C. A. Nau, and H. H. Sweets. 1945. Animal studies on the toxicity of inhaled antimony trioxide. J. Ind. Hyg. Toxicol. 27:256. Djuric, D., R. G. Thomas, and R. Lie. 1962. The distribution and excretion of trivalent antimony in the rat following inhalation. Int. Arch. Gewerbepathol. Gewerbehyg. 19:529. Dunn, R. C., and S. H. Webster. 1945. Haemoglobinuria, crystals, casts and globules in renal tubules of guinea-pigs following chemical analyses. Am. J. Pathol. 23:967. Ercoli, N. 1971. Significance of the chemotherapeutic index in the treatment of schisto- somiasis with antimony compounds. Bull. wHO 45:371. Feil, A. 1939. Le role de l'antimonine en pathologic professionelle. Pr. Med. 47:1133. Felicetti, S. A., R. G. Thomas, and R. O. McClellan. 1974. Metabolism of two valence states of inhaled antimony in hamsters. Am. Ind. Hyg. Assoc. J. 35:292. Fink, C. G., and A. H. Kopp. 1933. A rediscovered ancient Egyptian craft. Metrop. Mus. Stud. 4:163. Franz, G. 1937. Zur pathologischen Anatomie der Antimonvergiftung. Arch. Exp. Pathol. Pharmakol. 186:661. Gellhorn, A., N. A. Tupikova, and H. B. Van Dyke. 1946. Tissue distribution and excretion of four organic antimonials after single or repeated administration to normal hamsters. J. Pharmacol. 87:169. Gocher, T. E. P. 1945. Antimony intoxication. Northwest Med., Seattle 44:92. Goodwin, L. G. 1944. The toxicity and trypanocidal activity of some organic antimonials. J. Pharmacol. 81:224. Gross, P., J. H. Brown, and T. F. Hatch. l9S1. Experimental endogenous lipoid pneu- monia. Am. J. Pathol. 57:690. Hamilton, E. I., and M. J. Minski. 1972/1973. Abundance of the chemical elements in man's diet and possible relations with environmental factors. Sci. Total Environ. 1:375. Hamilton, E. I., M. J. Minski, and J. J. Cleary. 1972/1973. The concentration and distribution of some stable elements in healthy human tissue from the United King- dom (An environmental study). Sci. Total Environ. 1:341.

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Representative terms from entire chapter:

antimony compounds