scholarly journals Lead toxicity in a new-born due to in utero exposure

2017 ◽  
Vol 5 (1) ◽  
pp. 245
Author(s):  
Leanna Laor ◽  
Sharlene Sy ◽  
Ruchi Gupta ◽  
Joseph Torres ◽  
Lourdes Cohen
Keyword(s):  
Lead Level ◽  
Lead Toxicity ◽  
Blood Lead ◽  
In Utero ◽  
In Utero Exposure ◽  
Limited Data ◽  
Child Bearing ◽  
Lead Levels

Lead poisoning in a neonate is poorly defined, and limited data exists on appropriate follow-up and treatment of such infants. We are presenting the case of a newborn infant, who had a lead level of 63 mcg/dL. Treatment involved five days of intravenous chelation therapy. At discharge, no clinical sequelae of lead toxicity were found. However, due to the chronic nature of in utero exposure the infant requires close follow-up, in particular neurologic and developmental sequelae. Lead toxicity has many complications. Long-term complications include delays in growth and development. Furthermore, these complications may develop in children with minimal toxicity, let alone those with grossly abnormal values. Due to lack of data, perhaps it is worthwhile to screen those women of child-bearing age, who are of "high risk", for elevated blood lead levels to reduce the risk of in utero exposure.

Lead Poisoning: Twenty Years After

PEDIATRICS ◽  
1993 ◽  
Vol 92 (3) ◽  
pp. 505-505
Author(s):  
HENRIETTA SACHS ◽  
DONALD I. MOEL
Keyword(s):  
Disease Control ◽  
Lead Poisoning ◽  
Blood Lead Level ◽  
Scientific Evidence ◽  
Lead Level ◽  
Blood Lead ◽  
Neurobehavioral Development ◽  
Long Term Follow Up

To the Editor.— In October 1991, the Centers for Disease Control decreased the blood lead level PbB) from 25 to 10 µg/dL and designated it as abnormal because of "overwhelming and compelling scientific evidence"1 that 10 µg/dL is associated with adverse neurobehavioral development. We have evidence to the contrary, obtained in a long-term follow-up of severely lead-poisoned children whom we treated before 1972 for PbBs between 80 and 470 µg/dL (mean, 150.3 ± 77.1 µg/dL); their mean age was 28 months.

scholarly journals Against lead poisoning: effectiveness of housing first and counselling in the home

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Laporte ◽  
H Barberin de Barberini ◽  
E Jouve ◽  
K Hadji ◽  
S Gentile
Keyword(s):  
Lead Poisoning ◽  
Lead Exposure ◽  
Blood Lead Level ◽  
Lead Level ◽  
Blood Lead ◽  
Housing First ◽  
Blood Lead Levels ◽  
Stable Housing ◽  
Lead Levels

Abstract Background Removing lead sources is the main measure against child lead poisoning. Medical treatment is ineffective for most mild cases and particularly against long-term complications in neurological development. However, the effectiveness of interventions to eliminate sources of lead exposure has not been fully established, mainly because of the diversity of situations. The objective of this study was to determine the influence of several interventions (housing counselling, rehabilitation and relocation) on blood lead levels in two situations (stable unhealthy housing with old flaked lead paints, slums with family recycling practices by incineration). Methodology A historical cohort of lead poisoning in children has been established in Marseille, France. Medical follow-up followed national guidelines. Environmental interventions followed legal procedures, where available. In slums, counselling was adapted to the exposure. A generalized mixed model was developed to study the kinetics of blood lead levels after the interventions. Results 151 children were included; age = 5.4 (SD = 7.8) years; 85 (56%) lived in stable unhealthy housing, others lived in slums. Medical follow-up included 492 blood lead levels. For children living in stable unhealthy housing, blood lead level decrease was significantly associated with every intervention: housing counselling, rehabilitation and relocation (respectively p < 0.005; p < 0.05 and p < 0.005). For children living in slums, blood lead level decrease was only associated with relocation in a stable housing (p < 0.005). Conclusions Several interventions are effective to decrease blood lead levels in unhealthy housing. In slums, access to a stable housing first is a prerequisite for any intervention against child lead poisoning, even when related to family practices. Key messages In stable unhealthy housing, several interventions against lead exposure can be effective to raise a strategy. But, environmental health and access to housing first needs to be addressed for their implementation.

scholarly journals Occupational lead toxicity in Craft Potters

2018 ◽  
Vol 19 (1) ◽  
pp. 105-111
Author(s):  
Nadia Chaouali ◽  
◽  
Anouar Nouioui ◽  
Manel Aouard ◽  
Dorra Amira ◽  
...  
Keyword(s):  
Lead Level ◽  
Lead Toxicity ◽  
Blood Lead ◽  
Folk Art ◽  
World Health ◽  
Ceramic Ware ◽  
Family Tradition ◽  
Lead Levels ◽  
Income Data ◽  
Health Organization

Lead intoxication risks were studied in a community of ceramic folk art workers in Nabeul (Tunisia),where the manufacture of low temperature lead ceramic ware is a family tradition and often the only source of income. Data onlifestyle, working conditions and clinical disorders were collected from workers.31 potters working in five different workshopswere included in this study. Blood lead levels wereanalyzed by graphite furnaceatomic absorption spectrometry.Blood lead levels ranged from 40 to 540 μg/L, with a mean of 220.3 μg/L. 42 percent of potters had a blood lead level over 200 μg/L and 13 % over 400 μg/L,which is over the World Health Organization guidelinesfor removingworkersfrom exposure,as this is the concentration over which renal damage is accelerated.In the community of ceramic folk art workers living in north-eastern Tunisia, blood lead concentrations were significantly higher (p<0.05).Our findings showedthat the use of lead-oxide glaze can increase the risk ofleadtoxicity and reiterate the needfor strict guidelines regarding the useof lead in pottery and replacing it by lead free paints.

Long-Term Trends in Blood Lead Levels Among Children in Chicago: Relationship to Air Lead Levels

PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. 195-200
Author(s):  
Edward B. Hayes ◽  
Hyman G. Orbach ◽  
Alina M. Fernandez ◽  
Sheila Lyne ◽  
Thomas D. Matte ◽  
...  
Keyword(s):  
High Risk ◽  
Lead Exposure ◽  
Blood Lead Level ◽  
Lead Level ◽  
Blood Lead ◽  
Blood Lead Levels ◽  
Lead Levels ◽  
Level Of Concern ◽  
The Impact

Objectives. To evaluate trends in blood lead levels among children in Chicago from 1968 through 1988, and to determine the impact of the changes in the Centers for Disease Control and Prevention (CDC) blood lead level of concern. Methods. We reviewed a systematic sample of blood lead screening records of the Chicago Department of Health Laboratory for high-risk children aged 6 months to 5 years. Median blood lead levels for each quarter of the years 1974 through 1988 were determined and regressed against mean air lead levels recorded at air-monitoring stations in Chicago during the same period. Results. Median blood lead levels declined from 30 µg/dL in 1968 to 12 µg/dL in 1988, and were strongly associated with declining average air lead levels (r = .8, P &lt; .001) from 1974 through 1988. A regression model using log-transformed data predicted a decline of 0.56 µg/dL in the median blood lead level with each 0.1 µg/m3 decline in the mean air lead level when the air lead level was near 1.0 µg/m3; the predicted slope was steeper at lower air lead levels. Despite the nearly 20-fold reduction in air lead levels, the median blood lead level of 12 µg/dL in 1988 indicates substantial continuing lead exposure. The CDC blood lead level of concern was lowered twice from 1968 to 1988, but due to the decline in blood lead levels, fewer than 30% of the children were above the level of concern throughout most of the study. Conclusion. Although substantial lead exposure persists in Chicago, reductions in airborne lead emissions seem to have contributed to a long-term decline in the median blood lead level of high-risk Chicago children.

scholarly journals Long‐term Follow Up of Children with in utero Exposure to Sulfonylurea Medications

2021 ◽  
Author(s):  
Marissa S. Rodenstein ◽  
Monica E. Bianco ◽  
Maegan U. Ramchal ◽  
Michael Murias ◽  
Rebecca L. Silton ◽  
...  
Keyword(s):  
In Utero ◽  
In Utero Exposure ◽  
Long Term Follow Up

A Ceramic Glazer Presenting with Extremely High Lead Levels

1988 ◽  
Vol 7 (2) ◽  
pp. 171-174 ◽  
Author(s):  
D.S. Ooi ◽  
S.L. Perkins
Keyword(s):  
Lead Level ◽  
Lead Toxicity ◽  
Blood Lead ◽  
Oral Route ◽  
Interesting Pattern ◽  
Elevated Liver Enzymes ◽  
Normocytic Anaemia ◽  
Lead Levels ◽  
High Level ◽  
High Lead

A case of lead poisoning in a ceramic glazer is reported. The patient had an extremely high level of blood lead at 29.5 μmol/l, and many of the laboratory features of lead toxicity: normocytic anaemia with marked basophilic stippling, abnormal blood and urinary porphyrins, and elevated liver enzymes. Surprisingly, the patient had no electromyographic evidence of neurologic involvement. The patient was treated with intravenous EDTA-calcium followed by oral penicillamine. Urinary porphyrin and porphyrin precursor excretion followed an interesting pattern, correlating with the chelator used. This patient illustrates that extremely high blood lead level can be achieved through the oral route in an adult.

scholarly journals In utero exposure to antiretroviral therapy: feasibility of long-term follow-up

AIDS Care ◽  
2009 ◽  
Vol 21 (7) ◽  
pp. 809-816 ◽  
Author(s):  
Claire Hankin ◽  
Hermione Lyall ◽  
Barbara Willey ◽  
Catherine Peckham ◽  
Janet Masters ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
In Utero ◽  
In Utero Exposure ◽  
Long Term Follow Up

scholarly journals Oxidative Stress in Painters Exposed to Low Lead Levels

2008 ◽  
Vol 59 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Imran Mohammad ◽  
Abbas Mahdi ◽  
Aryapu Raviraja ◽  
Islam Najmul ◽  
Ahmad Iqbal ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Antioxidant Status ◽  
Aminolevulinic Acid ◽  
Lead Level ◽  
Lead Toxicity ◽  
Blood Lead ◽  
Blood Lead Levels ◽  
Control Group ◽  
Zinc Protoporphyrin ◽  
Lead Levels

Oxidative Stress in Painters Exposed to Low Lead LevelsLead toxicity is a public health problem particularly to the children and to occupationally exposed adults. Evidence is mounting successively regarding the adverse health effects of lead at low levels. This study was undertaken to assess the antioxidant status of lead-exposed residential and commercial painters of Lucknow city in Uttar Pradesh, India.Thirty-five painters aged 20 to 50 years who had blood lead levels ≤400 μg L-1were selected for the study from a population of 56 male painters initially screened for blood lead. The control group included an equal number of subjects of the same age group without any occupational exposure to lead.We studied the association between low lead level exposure and antioxidant status and found that blood lead levels in painters were approximately seven times as high as in controls [(219.2 ± 61.9) μg L-1vs. (30.6±10.1) μg L-1, respectively]. Among the biomarkers of lead toxicity a significant decrease in the level of delta-aminolevulinic acid dehydratase [(9.13±4.62) UL-1vs. (39.38±5.05) UL-1] and an increase in the level of zinc protoporphyrin [(187.9±49.8) μg L-1vs. (26.4±5.5) μg L-1] were observed in painters compared to controls. Among antioxidant enzymes, painters showed a significant decrease in catalase [(56.77±11.11) UL-1vs. (230.30±42.55) UL-1] and superoxide dismutase [(0.64±0.19) UL-1 vs. (2.68±0.62) UL-1] compared to controls. Lipid peroxidation was monitored by measuring thiobarbituric acid reactive substances (TBARS) that were expressed in terms of malondialdehyde (MDA) equivalents. Concentration of MDA in plasma was higher in painters than in controls [(7.48±1.31) nmol mL-1vs. (3.08±0.56) nmol mL-1]. Significant changes were also observed in reduced and oxidised glutathione levels. The strong association between blood lead levels and oxidative stress markers in this population suggests that oxidative stress should be considered in the pathogenesis of lead-related diseases among people with low level environmental exposure to lead.

scholarly journals Lead encephalopathy in adults

2014 ◽  
Vol 5 (02) ◽  
pp. 161-163 ◽  
Author(s):  
Janapareddy Vijaya Bhaskara Rao ◽  
Bhuma Vengamma ◽  
Thota Naveen ◽  
Vandanapu Naveen
Keyword(s):  
Health Hazard ◽  
Lead Level ◽  
Lead Toxicity ◽  
Blood Lead ◽  
Lentiform Nucleus ◽  
Abdominal Colic ◽  
Lead Encephalopathy ◽  
Lead Line ◽  
Management Issues

Lead poisoning is a common occupational health hazard in developing countries. We report the varied clinical presentation, diagnostic and management issues in two adult patients with lead encephalopathy. Both patients worked in a battery manufacturing unit. Both patients presented with seizures and one patient also complained of abdominal colic and vomiting. Both were anemic and a lead line was present. Blood lead level in both the patients was greater than 25 μg/dl. Magnetic resonance imaging of brain revealed bilateral symmetric involvement of the thalamus, lentiform nucleus in both patients and also the external capsules, sub-cortical white matter in one patient. All these changes, seen as hyperintensities in T2-weighted images suggested demyelination. They were advised avoidance of further exposure to lead and were treated with anti-epileptics; one patient also received D-penicillamine. They improved well on follow-up. Lead encephalopathy is an uncommon but important manifestation of lead toxicity in adults.

Non-Treatment of Screened Children With Intermediate Blood Lead Levels

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 298-302
Author(s):  
Michael C. Klein ◽  
Mary Schlageter
Keyword(s):  
Nurse Practitioner ◽  
Venous Blood ◽  
Lead Level ◽  
Blood Lead ◽  
Small Population ◽  
Personalized Care ◽  
Hot Dry Season ◽  
Lead Levels ◽  
The City

An aggressive screening and follow-up program for children at risk for lead poisoning was conducted by a nurse practitioner in a small family practice unit. Subsequent venous blood lead determinations in untreated cases show the natural fall in lead level over 12 to 18 months. Many of these children would have been chelated by others, yet individualized, specific, personalized care by a nurse practitioner permitted monitoring without treatment even in persistently leaded environments. No chelation therapy was necessary until the third summer, when coincident with a long, hot, dry season, the city's abatement system became nonfunctional. Nontreatment requires close follow-up, a relatively small population, and cooperation from the city.

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