Evaluation, diagnosis, and treatment of lead poisoning in a patient with occupational lead exposure

A case presentation

D'Souza Sunil Herman, Menezes Geraldine, Thuppil Venkatesh

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Amongst toxic heavy metals, lead ranks as one of the most serious environmental poisons all over the world. Exposure to lead in the home and the workplace results in health hazards to many adults and children causing economic damage, which is due to the lack of awareness of the ill effects of lead. We report the case of a 22 year old man working in an unorganized lead acid battery manufacturing unit, complaining about a longer history of general body ache, lethargy, fatigue, shoulder joint pain, shaking of hands and wrist drop. Patient had blue line at gingivodental junction. Central nervous system (CNS) examination showed having grade 0 power of extensors of right wrist & fingers. Reflexes: Supinator- absent, Triceps- weak and other deep tendon reflexes- normal. Investigations carried out during the admission showed hemoglobin levels of 8.3 g/dl and blood lead level of 128.3 μg/dl. The patient was subjected to chelation therapy, which was accompanied by aggressive environmental intervention and was advised not to return to the same environmental exposure situation. After repeated course of chelation therapy he has shown the signs of improvement and is on follow up presently.

Original languageEnglish
Article number7
JournalJournal of Occupational Medicine and Toxicology
Volume2
Issue number1
DOIs
Publication statusPublished - 11-10-2007
Externally publishedYes

Fingerprint

Industrial poisons
Chelation Therapy
Lead Poisoning
Poisons
Occupational Exposure
Chelation
Wrist
Lead
examination system
Stretch Reflex
Abnormal Reflexes
Health hazards
Lethargy
Shoulder Pain
Shoulder Joint
Lead acid batteries
Hemoglobin
Tendons
Environmental Exposure
Arthralgia

All Science Journal Classification (ASJC) codes

  • Toxicology
  • Safety Research
  • Public Health, Environmental and Occupational Health

Cite this

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abstract = "Amongst toxic heavy metals, lead ranks as one of the most serious environmental poisons all over the world. Exposure to lead in the home and the workplace results in health hazards to many adults and children causing economic damage, which is due to the lack of awareness of the ill effects of lead. We report the case of a 22 year old man working in an unorganized lead acid battery manufacturing unit, complaining about a longer history of general body ache, lethargy, fatigue, shoulder joint pain, shaking of hands and wrist drop. Patient had blue line at gingivodental junction. Central nervous system (CNS) examination showed having grade 0 power of extensors of right wrist & fingers. Reflexes: Supinator- absent, Triceps- weak and other deep tendon reflexes- normal. Investigations carried out during the admission showed hemoglobin levels of 8.3 g/dl and blood lead level of 128.3 μg/dl. The patient was subjected to chelation therapy, which was accompanied by aggressive environmental intervention and was advised not to return to the same environmental exposure situation. After repeated course of chelation therapy he has shown the signs of improvement and is on follow up presently.",
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Evaluation, diagnosis, and treatment of lead poisoning in a patient with occupational lead exposure : A case presentation. / Herman, D'Souza Sunil; Geraldine, Menezes; Venkatesh, Thuppil.

In: Journal of Occupational Medicine and Toxicology, Vol. 2, No. 1, 7, 11.10.2007.

Research output: Contribution to journalArticle

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