Abstract
Background and objectiveLead poisoning is normally caused by repeated occupational inhalation of lead. However, lead may also be absorbed through the digestive route. Some alternative medical treatments, such as ayurvedic medicine, can also contain lead and may result in poisoning. Patients and methodsWe collected cases of lead poisoning related to Ayurvedic treatments attended at the Hospital Clinic of Barcelona. ResultsTwo female patients, aged 45 and 57 years, respectively, who initiated ayurvedic treatments which involved the ingestion of various medicaments, were included. The first patient presented with anaemia and abdominal pain. The lead level was 74μg/dl and free erythrocyte protoporphyrin was 163μg/dl. She was treated with intravenous calcium disodium ethylenediaminetetraacetic acid (CaNa2EDTA) and later with oral dimercaptosuccinic acid (DMSA) with a good evolution. The second patient presented with abdominal pain and a Burton's line. The lead level was 52μg/dl and free erythrocyte protoporphyrin was 262μg/dl. She was treated with oral DMSA and evolved favourably. Lead concentrations in some of the tablets supplied to the patients reached 2003 and 19,650μg/g of tablet. ConclusionsLead poisoning may result from treatments based on ayurvedic medicine and may reach epidemic proportions. Health control of alternative medicines is necessary.
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