Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
For the purposes of controlling the experiments of inhalation, two
other series of experiments were undertaken. In one instance an animal
was fed for two years on white lead; the animal was given 0·1 gramme
per day, and this was increased up to 0·5 gramme, and ultimately 1
gramme. This animal exhibited no symptoms whatever of lead poisoning,
and when it was killed, at the end of the time of experiment, showed
no apparent lesion, with the exception of very marked staining of the
colon and vermiform appendix. This staining of the large intestine
and the appendix, the engorgement of the vessels, particularly of
the omentum and mesentery, the enlargement of the lymphatic glands
in the neighbourhood of the colon, ileo-cæcal valve, and appendix,
suggest the absorption of lead in the upper part of the intestine, and
its discharge or elimination into the large intestine. That lead is
absorbed into the upper part of the intestine was demonstrated in the
following manner:
An animal was anæsthetized, an incision made, and a loop of intestine
pulled up and clamped off, a solution of lead chloride being run into
the loop by means of a hypodermic syringe. The mesenteric vein passing
from this loop of intestine was then carefully secured, a small opening
made in it, and the blood collected drop by drop until some 40 c.c.
had been collected, the time occupied being about three-quarters of an
hour. The blood thus collected was submitted to chemical examination,
and lead was demonstrated to be present. Lead therefore passes direct
from the intestine into the portal circulation.
In only one of the feeding experiments with solid compounds of lead was
any definite symptom of lead poisoning produced, and in this instance
the compound used was dust collected from the flues of a blast-furnace.
This dust was afterwards found to contain a considerable quantity of
arsenic. The experiment cannot therefore be regarded as conclusive.
With the more soluble salts of lead, however, such as the acetate,
lead poisoning may be set up by means of lead administered via the
intestinal canal: 1 gramme of lead acetate administered by means of a
hypodermic syringe through a catheter passed into the stomach of a cat
produced abortion in ten days, and death in three weeks. Four grammes
of acetate produced a similar effect in a dog in four weeks.
PLATE III
[Illustration: FIG. 1.--KIDNEY OF ANIMAL POISONED WITH WHITE LEAD
(INHALATION), SHOWING MICROSCOPICAL HÆMORRHAGES. (STAINED HÆMATOXYLIN
AND EOSIN.) × 250.]
[Illustration: FIG. 2.--KIDNEY OF MAN DYING OF CHRONIC LEAD POISONING.
(STAINED HÆMATOXYLIN AND EOSIN.) × 250.]
[Illustration: FIG. 3.--BRAIN OF YOUNG WOMAN DYING OF ACUTE LEAD
ENCEPHALOPATHY, SHOWING SMALL CEREBRAL HÆMORRHAGES. (STAINED
HÆMATOXYLIN AND EOSIN.) × 250.]
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