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
Another solution is possible--namely, that the particles seen in the
intestinal wall are particles of lead in process of excretion into the
intestine itself, and that the pigmentation of the vessel walls and
cells is caused by the staining of the particles of lead passing from
the blood into the lumen of the tube, which have been converted into a
sulphide during their passage.
The localization of the staining in the large intestine, especially
in the region of the appendix in animals (cats), tends to support
this theory. The large bowel near the ileo-cæcal valve, the appendix,
and even the glands in the immediate neighbourhood, are found to
be discoloured, and to contain lead in larger quantities than any
other portion of the intestine. In extreme cases the whole of the
large intestine may be stained a greyish-blue. The bloodvessels in
the mesentery in this region are also engorged. When, however, a
salt of lead, such as lead carbonate or lead oxide, gains access to
the stomach, it may be easily converted into chloride by the free
hydrochloric acid present in the stomach; and, in addition, should
there be any chronic acid-dyspepsia (hyperchlorhydria), particularly
of the fermentative type, in which free lactic acid and other organic
acids are to be found within the viscus, small quantities of lead
swallowed as dust undergo solution and conversion into chloride or
lactate. The pouring out of acid gastric juice from the stomach glands
does not take place immediately after the first bolus of food is
swallowed, and it may be twenty minutes or half an hour before the
gastric contents have an acid reaction. During this time any lead salts
previously swallowed may become incorporated with the bolus of food and
escape absorption.
Lead in solution or suspension in the stomach which becomes mixed up
with the food, and at the same time subjected to the action of various
albuminous constituents of the food in addition to acids, causes an
albuminate or peptonate of lead to be easily formed, _and as such can
never be absorbed from the stomach direct_; practically no absorption
takes place in the stomach, and the presence of food containing
albuminate precipitates any lead in solution as an organic insoluble
salt. The bolus of food impregnated with small quantities of lead
passes onwards to the intestine, where further digestion takes place.
As the mass passes through the intestine the action gradually results
in the reappearance of acidity, but at the same time a certain quantity
of sulphuretted hydrogen is produced, some of it from the degradation
of the sulphur-containing moiety of the protein molecule by ordinary
hydrolytic process and intestinal ferments, quite apart from any
bacterial action. A portion of the lead present in the chyme may be set
free again for absorption. The bile is said to assist in the solution
of lead _in vitro_.
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