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
The estimation of the quantity of lead present in organic fluids,
with the disturbing influence of the presence of other metals, is a
factor which always complicates the use of the sulphuretted hydrogen
colorimetric estimation. It is almost impossible, when dealing with
fæces, with blood, or, on the other hand, with artificial digests
containing bread and milk, to eliminate the disturbing influence of
iron. Further, if steps are taken to remove the iron and other metals,
so much loss takes place in the manipulations necessary that the
results arrived at are not satisfactory. Whenever dealing with organic
matter, such as urine and fæces, it is best to make a blank test with a
similar quantity of the substance under examination obtained from other
sources, and to subtract the error found due to iron, when a rather
closer approximation may be arrived at.
So far as can be estimated, the minimal quantity of lead required to
produce poisoning is 0·005 gramme per kilogramme of body weight; but,
on the other hand, persons who have swallowed much larger doses than
this have exhibited no symptoms of poisoning. There is every reason to
suppose that lead absorbed through the lung produces a maximum toxic
effect, and, from the estimation of the quantity of lead found in
the body after death, it is highly probable that exceedingly minute
quantities of lead have, when absorbed over long periods, produced
changes not only by their actual presence in the tissues, but also have
set up degenerative changes which progress even after the elimination
of the metal from its local position.
=Histological Examination.=--In addition to the chemical examination
of tissues from a person who has died of suspected lead poisoning,
it is of the highest importance to make histological examinations,
as the naked-eye appearance of post-mortem examination is frequently
insufficient to give any clue to the cause of the poisoning. Moreover,
in a large number of instances the necropsy may exhibit a number of
signs of disease, such, for instance, as granular kidney, cirrhosis of
the liver, and so forth, which are associated with diseases other than
lead poisoning, and, in the absence of any present or past evidence of
definite hæmorrhages found associated with the other lesions already
mentioned, an ordinary autopsy must be inconclusive. It is true that
such pathological conditions are consistent with poisoning by lead; and
if the individual has been a lead-worker, it is easy, but frequently
erroneous, to conclude that the symptoms owe their origin to the
worker’s occupation. We are entirely in sympathy with the remarks of
King Alcock[9], who says:
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