Anemia lead nephropathy

Chronic lead nephropathy from moonshine came to medical attention because of the dramatic symptoms of acute lead poisoning. Lead colic and anemia were... 

Lead Inorganic lead oxides and salts Gastrointestinal, respiratory Soft tissues redistributed to skeleton (> 90% of adult body burden) CNS deficits peripheral neuropathy anemia nephropathy hypertension reproductive toxicity Inhibits enzymes interferes with essential cations alters membrane structure Renal (major) feces and breast milk (minor)... 

Saccharated ferric oxide, an intravenous formulation of iron that is used when oral iron is not effective in anemia, can cause osteomalacia during long-term use. The underlying mechanism of nephropathy leading to bone toxicity has recently been reviewed (34). 

Exposure to lead in adults has been associated with hypertension, nephropathy, decreased hearing acuity, anemia, peripheral neuropathy, and encephalopathy. Onset of symptoms may be slow with chronic exposure. Anemia, common in chronically exposed adults and children, tends to be more severe in children. The life span of red blood cells decreases when lead concentrations in blood increase. In the past, the morphology of various blood cells was used to diagnose lead poisoning. Zero content is allowed in food (Food and Drug Administration). 

Answer E. The profile of lead toxicity includes decreased heme synthesis, anemia, nephropathy, and peripheral neuropathy, the last leading to foot drop or wrist drop. Garlic breath and watery stools are associated with arsenic poisoning. Chronic gingivitis and loose teeth are features of mercury poisoning. 

Lead (tap water, leaded paint chips, herbal remedies, gas-sniffing, glazed kitchenware, etc.) Acute N and V, GI distress and pain, malaise, tremor, tinnitus, paresthesias, encephalopathy (red or black feces) Chronic multisystem effects—anemia (X heme synthesis), neuronathv (wrist dronL nephropathy (proteinuria, failure), hepatitis, mental retardation (from pica), >1 fertility and 1 stillbirths Decontamination—gastric lavage + dimercaprol (severe) or EDTA or succimer (penicillamine if unable to use dimercaprol or succimer) Children succimer PO... 

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