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m-Cresol - ipcs inchem

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OECD SIDS<br />

m-CRESOL<br />

5. TOXICITY ID: 108-39-4<br />

DATE: 24.05.2004<br />

Remark : In humans, m-cresol may be excreted as a metabolite in urine<br />

after occupational exposure to phenols, cresols, xylenols,<br />

naphthalene and/or toluene.<br />

Reliability : (4) not assignable<br />

14.01.2003 (165) (166) (167) (168) (169) (170) (171)<br />

Remark : The probable oral lethal dose for humans is 50-500 mg/kg.<br />

Reliability : (2) valid with restrictions<br />

Flag : Critical study for SIDS endpoint<br />

14.01.2003 (172)<br />

Remark : In humans, insulin preparations with m-cresol resulted in an<br />

impaired leukocyte function (decreased killing capacity of<br />

human polymorphonuclear leukocytes (PMNL), expressed as the<br />

percentage of Staphylococcus aureus killed after 60 minutes<br />

of incubation). m-cresol is possibly implicated in the<br />

pathogenesis of local infections in continuous subcutaneous<br />

insulin infusion<br />

Reliability : (4) not assignable<br />

15.01.2003 (173)<br />

Remark : Case report: A 44-y-old male was found unconscious after<br />

ingestion of 300 ml of 50 % cresol-soap solution.<br />

Endotracheal intubation, gastric lavage and activated<br />

charcoal reversed his conscious. He had dermal burns,<br />

oesophageal and gastric erosions, pneumonia, mixed metabolic<br />

acidosis and respiratory alkalosis, renal and liver function<br />

impairment, leucocytosis and dark urine. Acute renal failure<br />

and hemolysis developed, but recovered after hemodialysis<br />

and intensive supportive care.<br />

Urine levels of p-,m-,o-cresol and phenol were resp. 2083,<br />

2059, 125 and 68 mg/g creatinine at 7 h post ingestion.<br />

The patient recovered.<br />

Reliability : (4) not assignable<br />

15.01.2003 (174)<br />

Remark : case report: Accidental dermal exposure of both legs and face of a 47-<br />

year-old man resulted in corrosion of 15 % of his body surface and he<br />

developed acute polyuric renal failure. Serum levels of m-cresol after 1 h<br />

were above 30 mg/l.<br />

After 5 hemodialysis procedures renal function recovered.<br />

Levels of m-cresol in the dialysate were less than 5 % of<br />

the levels in serum. Hemodialysis had no significant effect<br />

on the serum concentration time course of m-cresol.<br />

Reliability : (2) valid with restrictions<br />

Flag : Critical study for SIDS endpoint<br />

14.01.2003 (175)<br />

Remark : The Agency for Toxic Substances and Disease Registry (ATSDR)<br />

Minimal Risk Levels (MLR) were developed to provide<br />

screening levels for health assessors and other responders<br />

to identify contaminants and potential health effects that<br />

may be of concern at hazardous waste sites an releases. An<br />

MRL is an estimate of the daily human exposure to a<br />

hazardous substance that is likely to be without<br />

appreciable risk of adverse noncancer health effects over a<br />

UNEP PUBLICATIONS 157

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