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 difficulty of estimating lead present in these gastric digestions
is a very real one, as, owing to the precipitation of lead by various
fluids of an albuminoid nature, it is difficult to determine the amount
of lead present in a given quantity of digest; moreover, in making
such a digest, much of the material may become entangled among the
clot of the milk in a purely mechanical fashion, and, in attempting to
separate the fluid from the other portion of the digest, filtration
no doubt removes any lead which has been rendered soluble first of
all, and reprecipitated as an albuminate. An albuminate of lead may be
formed with great ease in the following way: A 5 per cent. solution
of albumin in normal saline is taken, 0·02 per cent. of hydrochloric
acid is added, and 10 per cent. solution of lead chloride added as
long as a precipitate is formed. The precipitate is then filtered
off, and washed in a dialyser with acidulated water until no further
trace of lead is found in the washings. A portion of this substance
taken up in distilled water forms a solution of an opalescent nature,
which readily passes through the filter and gives the reaction of
protein with Millon’s reagent, and the lead reaction by means of
caustic potash and sulphuretted hydrogen, but very large quantities
of mineral acid are required to produce any colour with hydrogen
sulphide. Lead which gains access to the stomach, either dissolved
in water or swallowed as fine dust, becomes in all probability
converted first into a soluble substance, chloride, acetate, or
lactate, which compound is then precipitated either by the mucin
present in the stomach, or by the protein constituents of the food,
or by the partially digested food (peptonate of lead may be formed
in the same way as the albuminate described above). In this form, or
as an albuminate or other organic compound, it passes the pylorus,
and becomes reprecipitated and redigested through the action of the
pancreatic juice. A consideration of the action of artificial gastric
juices and the properly combined experiments of gastric and pancreatic
digestions suggest that the form in which lead becomes absorbed is
not a chloride, but an organic compound first formed and gradually
decomposed during the normal process of digestion, and absorbed in
this manner from the intestine along with the ordinary constituents
of food. Dixon Mann[13] has shown that about two-thirds of the lead
administered by the mouth is discharged in the fæces, and that the
remaining one-third is also slowly but only partially eliminated. This
point is of very considerable importance in relation to industrial
poisoning of presumably gastro-intestinal origin, and consideration
of the experiments quoted suggests that the digestion of albuminate
or peptonate may to some extent be the basis which determines the
excretion of so much of the lead via the fæces. This alteration of
solubility has no doubt a bearing on the immunity exhibited by many
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