Abstract

Lead is a health hazard for all humans. Especially children under the age of six are most at risk for lead poisoning. Lead toxicity causes hematological, gastrointestinal, and neurological dysfunction. Symptoms are usually noted with blood lead greater than 2 micromoles/L. Severe or prolonged exposure may also cause chronic nephropathy, hypertension, and reproductive impairment. Lead inhibits some enzymes, alters cellular calcium metabolism, stimulates synthesis of binding proteins in kidney, brain, and bone, and slows down nerve conduction. Acute lead poisoning is relatively infrequent and results from ingestion of acid soluble lead compounds or inhalation of lead vapors but chronic exposure to low levels of the metal is still a public health issue, especially among some minorities and socioeconomically disadvantaged groups. Lead has been used since prehistoric times, and has become widely distributed and mobilized in the environment. Exposure to and uptake of this non-essential element have consequently increased. Both occupational and environmental exposures to lead remain a serious problem in many developing and industrializing countries and a public health problem of global dimensions.

Highlights

  • Lead is a natural heavy metal that exists in elemental, inorganic, and organic forms

  • Children are at the highest risk for toxicity because they absorb up to 50 percent of the amount of lead ingested, whereas adults absorb only about 10 to 20 percent.Transdermal absorption is minimal for inorganic lead [17]

  • Lead is commonly incorporated into rapidly growing bones, such as the tibia, femur, and radius, where it competes with calcium and may exert toxic effects on skeletal growth

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Summary

INORGANIC LEAD TOXICOLOGY

Summary: Lead is a health hazard for all humans. Children under the age of six are most at risk for lead poisoning. Severe or prolonged exposure may cause chronic nephropathy, hypertension, and reproductive impairment. Acute lead poisoning is relatively infrequent and results from ingestion of acid soluble lead compounds or inhalation of lead vapors but chronic exposure to low levels of the metal is still a public health issue, especially among some minorities and socioeconomically disadvantaged groups. Exposure to and uptake of this non-essential element have increased. Both occupational and environmental exposures to lead remain a serious problem in many developing and industrializing countries and a public health problem of global dimensions

Introduction
Environmental Sources of Lead
Carcinogenicity of Lead
Laboratory Profile Intoxication
Clinical Profile Intoxication
Hematologic Effects
Neurologic Effects
Gastrointestinal Effects
Renal Effects
Other Effects
Differences Between Acute and Chronic Intoxication
Frequency of Intoxication
Mortality and Morbidity
Sex Influence
Age Influence
Medical Care and Treatment of Intoxication
Findings
Further Necessary Care

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