We describe a case of mercurialism in a thirteen years old boy who pre
sented an erythematous-cyanotic rush on the estremities. Pain was the
main symptom and no nervous or psychic alteration was observed. The ur
inary Hg dosage revealed normal values while the plasmatic and hair le
vels were increased ten and five fold respectively. Differential diagn
osis was made with rheumatoid artritis, chronic urticaria, reflexed ne
rvovascular dystrophy, hand-foot affective deprivation syndrome and es
sential acrocyanosis.