A high hair chromium (Cr) level is likely to indicate excess exposure to Cr. Hair Cr levels do not appear to be affected by permanent solutions, dyes, or bleaches, but external contamination is possible. Trivalent Cr is considered to be an essential trace element with a low order of toxicity. Cr toxicity via oral ingestion is not likely. However, it is noteworthy that excessive self-supplementation has been reported to be associated with insomnia and increased unpleasant dream activity in some individuals (J. Nutr. Med.; 3(43), 1992).
Phytates decrease oral assimilation of Cr+3, whereas nicotinic acid and vitamin C increase absorption of Cr+3, zinc, vanadium and iron compete with Cr for absorption. In contrast, hexavalent Cr compounds are considerably more toxic and are primarily absorbed via inhalation as a result of industrial exposure. Industrial exposure to high amounts of Cr has been reported to be associated with allergic dermatitis, skin ulcers, bronchitis, and lung and nasal carcinoma. Elevated hair Cr levels have also been observed in patients with cerebral thrombosis and cerebral hemorrhage.
Sources of exposure to hexavalent Cr include: manufacture and use of ferrochromium and stainless steel, chromium plating (plumbing, electrical appliances, automotive parts), welding, commercial spray painting, wood finishing and leather tanning industries, and handling of cement. Extensive mining of Cr and disposal of spent ore presents a serious environmental problem in certain regions.
Tests to confirm excess exposure to Cr include analysis of Cr in plasma (trivalent) versus packed red blood cells (hexavalent); both analyses are more indicative of recent exposure than of body burden. A urine elements analysis will confirm recent exposure and serum hyaluronidase activity is reported to be elevated with excessive exposure to Cr.
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