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
Practically all cases of water poisoning and of swallowing of lead
compounds have developed colic. Further, colic is cited in all the
early recorded cases, even in the very earliest cases referred to in
the historical note, of lead poisoning; and as poisoning in those
cases had invariably taken place by swallowing the drug, it may be
presumed from this association has arisen the belief that lead must
be swallowed to produce gastro-intestinal symptoms. No attention has
been paid to the fact that a few cases of definite cutaneous absorption
of lead from the use of hair lotions have been followed by colic.
Gastro-intestinal symptoms, therefore, can be produced without the
direct ingestion of the drug, and colic is a symptom of generalized
blood-infection rather than a localized irritative action on the
intestinal mucosa. This question, again, is more related to pathology
than ætiology, and is dealt with in that section. But mention may be
made here of the fact that a number of observers, more lately Meillère,
have laid it down as an axiom that experimental production of lead
poisoning in animals gives no criterion or evidence of lead poisoning
produced in man industrially. Very grave exception must be taken at
once to such a statement. In the majority of experiments quoted by
Meillère the quantity of lead given for experimental purposes has been
large--much larger, indeed, than is necessary to produce small and
characteristic effects--and instead of chronic poisoning an acute lead
poisoning has generally been set up; and even where chronic poisoning
has supervened, the condition has as a rule been masked by the severer
initial symptoms. On the other hand, the evidence to be derived from
comparison of the various observations from animal experiments brings
out with remarkable unanimity the similarity of the symptoms to those
produced in man, and, as will be seen later in the section devoted to
Pathology, experiments by one of us (K. W. G.) have so far confirmed
this surmise; in fact, a description of a case of encephalopathy
coming on after lead poisoning of a chronic nature, described by Mott,
agrees in practically every particular with the train of symptoms as
observed in these experimental animals. Certain slight differences
as to the muscles first affected are observed, but it is practically
always the homologous muscle (the physiological action of which more
nearly resembles the human muscle) which is the one to be affected in
the animal, not the anatomical homologue. Thus, for instance, in the
cat the spinal muscles, and particularly the quadriceps extensor, is
the muscle which is first affected through the medium of the anterior
crural nerve. This extensor muscle is one which only performs a slight
amount of work in extending the knee-joint, the amount of work being,
however, disproportionate to the size of the muscle. The extensors of
the fore-feet ultimately do become weakened, but it is the hind-limb
upon which the stress first falls.
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