Study of past medical history in professional inorganic lead intoxication
April 3, 2011
Study of past medical history in professional inorganic lead intoxication
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Title: | Study of past medical history in professional inorganic lead intoxication |
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Article_Title: | Study of past medical history in professional inorganic lead intoxication |
Authors: | Horatiu Moldovan*, Lorand Szasz, Zsuzsanna Szasz |
Affiliation: | University of Medicine and Pharmacy, Targu Mureş, Romania Mures County Clinic Hospital, Romania |
Abstract: | The easier clinical guidance for inorganic lead intoxication is the method of past medical history. The professional past medical history with 21 points, common medical history and social history gives us clear information in lead intoxication. Studying 91 patients with inorganic lead intoxication who were admitted to Occupational Health Clinic in Targu Mures County Hospital for a period of 11 years and studying these information we can conclude the following: the patients have had most often moderate or severe intoxication with fatigue, head-ache and irritability as major complaints. More than half of the cases the intoxication starts with myalgia, constipation and weight loss. Saturnine colic is common at most of the patients. Gastrointestinal symptoms accompanying saturnine colic is considered most often like an early indicator in lead intoxication and not necessarily followed by saturnine colic. Pseudo-rheumatic syndrome is present mainly in patients with concomitant renal disease. Also, the paraesthesia is an early sign of peripheral neuropathy in lead intoxications. |
Keywords: | lead, intoxication, occupational, history, symptoms |
References: | Bardac D, 1999, Copşa Mică – elemente de monografie medicală şi socială, Tribuna Sibiu, 43-44, 57-69 Cezard C, 1992, Toxicologie du plomb chez l’homme, Editions Medicales Internationales, Paris, 41-43, 49-52, 73-113 Cocârlă A., 2008, Medicina ocupatională, Editura medicală univeristară „Iuliu Haţieganu”, Cluj-Napoca, 961-983 Condura SM, La Pagilia G, 1996, Efetti toxici ambientalie profesionali su la neurotransmisione, Scienze del travoro, 10, 29-34 Niculescu T, 2003, Medicina muncii, Editura Medmun, Bucuresti, 131-137 Szasz L , 2008, Vademecum de medicina muncii, University Press, Tg-Mureş, 130-139 Szasz L, 2008, Eficienţa măsurilor profilactice tehnico-organizatorice în condiţii concrete de extragerea plumbului anorganic, Revista de Medicina si Farmacie – sesiunea cadrelor didactice UMF Tg-Mures, 134 Szasz L, 2008, Tratamentul intoxicaţiei cronice cu plumb anorganic cu D-Penicilamină, Revista de Medicina si Farmacie – sesiunea cadrelor didactice UMF Tg-Mures, 106 Toma I., 2008, Medicina muncii, Editura Sitech, Craiova, 163-180 Menezes G, D’souza HS, Venkatesh T: Chronic lead poisoning in an adult battery worker. Occup Med 2003, 53:476-478. Conroy LM, Lindsay RMM, Sullivan PM, Cali S, Forst L: Lead, Chromium, and Cadmium exposure during abrasive blasting. Arch Environ Health 1996, 51:95-9. Cheng Y, Schwartz J, Sparrow D, Aro A, Weiss ST, Hu H: Bone lead and blood lead levels in relation to baseline blood pressure and the prospective development of hypertension. The normative aging study. Am J Epidemiol 2001, 153:164-71. 11. Suplido ML, Ong CN: Lead exposure among small-scale battery recyclers, automobile radiator mechanics, and their children in Manila, the Philippines. Environ Res 2000, 82:321-8. |
Read_full_article: | pdf/20-2010/20-s1-2010/SU20-s1-2010-Moldovan2.pdf |
Correspondence: | Moldovan Horatiu, Hygiene Department, University of Medicine anf Pharmacy, Targu-Mures, Romania, e-mail: horatiumoldovan@gmail.com |
Read full article | |
Article Title: | Study of past medical history in professional inorganic lead intoxication |
Authors: | Horatiu Moldovan*, Lorand Szasz, Zsuzsanna Szasz |
Affiliation: | University of Medicine and Pharmacy, Targu Mureş, Romania Mures County Clinic Hospital, Romania |
Abstract: | The easier clinical guidance for inorganic lead intoxication is the method of past medical history. The professional past medical history with 21 points, common medical history and social history gives us clear information in lead intoxication. Studying 91 patients with inorganic lead intoxication who were admitted to Occupational Health Clinic in Targu Mures County Hospital for a period of 11 years and studying these information we can conclude the following: the patients have had most often moderate or severe intoxication with fatigue, head-ache and irritability as major complaints. More than half of the cases the intoxication starts with myalgia, constipation and weight loss. Saturnine colic is common at most of the patients. Gastrointestinal symptoms accompanying saturnine colic is considered most often like an early indicator in lead intoxication and not necessarily followed by saturnine colic. Pseudo-rheumatic syndrome is present mainly in patients with concomitant renal disease. Also, the paraesthesia is an early sign of peripheral neuropathy in lead intoxications. |
Keywords: | lead, intoxication, occupational, history, symptoms |
References: | Bardac D, 1999, Copşa Mică – elemente de monografie medicală şi socială, Tribuna Sibiu, 43-44, 57-69 Cezard C, 1992, Toxicologie du plomb chez l’homme, Editions Medicales Internationales, Paris, 41-43, 49-52, 73-113 Cocârlă A., 2008, Medicina ocupatională, Editura medicală univeristară „Iuliu Haţieganu”, Cluj-Napoca, 961-983 Condura SM, La Pagilia G, 1996, Efetti toxici ambientalie profesionali su la neurotransmisione, Scienze del travoro, 10, 29-34 Niculescu T, 2003, Medicina muncii, Editura Medmun, Bucuresti, 131-137 Szasz L , 2008, Vademecum de medicina muncii, University Press, Tg-Mureş, 130-139 Szasz L, 2008, Eficienţa măsurilor profilactice tehnico-organizatorice în condiţii concrete de extragerea plumbului anorganic, Revista de Medicina si Farmacie – sesiunea cadrelor didactice UMF Tg-Mures, 134 Szasz L, 2008, Tratamentul intoxicaţiei cronice cu plumb anorganic cu D-Penicilamină, Revista de Medicina si Farmacie – sesiunea cadrelor didactice UMF Tg-Mures, 106 Toma I., 2008, Medicina muncii, Editura Sitech, Craiova, 163-180 Menezes G, D’souza HS, Venkatesh T: Chronic lead poisoning in an adult battery worker. Occup Med 2003, 53:476-478. Conroy LM, Lindsay RMM, Sullivan PM, Cali S, Forst L: Lead, Chromium, and Cadmium exposure during abrasive blasting. Arch Environ Health 1996, 51:95-9. Cheng Y, Schwartz J, Sparrow D, Aro A, Weiss ST, Hu H: Bone lead and blood lead levels in relation to baseline blood pressure and the prospective development of hypertension. The normative aging study. Am J Epidemiol 2001, 153:164-71. 11. Suplido ML, Ong CN: Lead exposure among small-scale battery recyclers, automobile radiator mechanics, and their children in Manila, the Philippines. Environ Res 2000, 82:321-8. |
*Correspondence: | Moldovan Horatiu, Hygiene Department, University of Medicine anf Pharmacy, Targu-Mures, Romania, e-mail: horatiumoldovan@gmail.com |