Document Detail


Lead poisoning and recurrent abdominal pain.
MedLine Citation:
PMID:  17634699     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Severe abdominal colic because of lead poisoning is an uncommon condition in adults. The diagnosis of lead toxicity is often delayed and abdominal pain is mistaken for acute abdomen. We describe three blood brothers who were involved in pottery glazing and suffered from repeated episodes of severe abdominal pain, nausea, vomiting, constipation and anemia due to lead toxicity. The patients had a history of several hospitalizations and one or two unnecessary laparotomies. One patient had wrists drop and weakness of the fingers extensors. All three patients had microcytic microchromic anemia with basophilic stippling of the erythrocytes, lead lines in X-ray of the knee joint and high blood lead levels. A diagnosis of lead poisoning was made and a course of chelating treatment started. Motor neuropathy, anemia and all gastrointestinal symptoms disappeared. Our report highlights the importance of taking a detailed occupational history and considering lead poisoning in the differential diagnosis of acute abdominal colic of unclear cause.
Authors:
Rahman Shiri; Mostafah Ansari; Martta Ranta; Kobra Falah-Hassani
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Industrial health     Volume:  45     ISSN:  0019-8366     ISO Abbreviation:  Ind Health     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-07-19     Completed Date:  2007-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985065R     Medline TA:  Ind Health     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  494-6     Citation Subset:  IM    
Affiliation:
Finnish Institute of Occupational Health, Helsinki, Finland.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology*
Adolescent
Adult
Humans
Lead Poisoning / complications*,  diagnosis,  drug therapy
Male
Occupational Exposure / adverse effects*
Recurrence
Risk Assessment
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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