Abstract
Three cases of acute lead ceramic glaze ingestions that occurred in elderly patients during art therapy classes in nursing homes are reported. Initial blood lead levels were 109 μg/dL (5.23 μmol/L), 259 μg/dL (10.43 μmol/L), and 85 μg/dL (4.08 μmol/L), respectively, and all patients underwent chelation therapy. Two individuals tolerated therapy well and showed not discernable changes from baseline state. One patient with a lead encephalopathy died and is, to the best of our knowledge, the first report of a death directly related to a ceramic lead glaze ingestion. Ceramic lead glaze ingestions among institutionalized patients may be more common than generally appreciated and occasionally are associated with significant morbidity or, rarely, mortality. Simple preventive measures could eliminate the majority of such occurrences.
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