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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Four phases may be recognised:

  • development of severe gastrointestinal symptoms - epigastric pain, nausea, vomiting, and haematemesis - within hours of ingestion
  • apparent recovery - of up to 24 hours
  • acute iron encephalopathy - with headache, confusion, convulsions and coma - and circulatory collapse
  • acute hepatic failure - up to three days later

In survivors, there may be hepatic necrosis, which may lead to hepatic coma and death, or late-onset pyloric stenosis.


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