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
In experiments made by one of us, which are quoted later, it has been
shown that an isolated loop of intestine allows the absorption of a
soluble lead salt (chloride) when there is no food present in the loop.
As the food mass proceeds through the length of the intestine more and
more sulphur is set free, and an opportunity arises for the fixation of
the lead as a sulphide, but even as a sulphide it is slightly soluble.
Probably, however, most of the lead becomes absorbed long before it
reaches the stage at which free sulphur or sulphuretted hydrogen
exists for the formation of sulphide. It is highly probable that lead,
in common with a number of other heavy metals, including arsenic, is
absorbed gradually in the upper part of the intestine, and re-excreted
in the lower. Such an hypothesis is undoubtedly strongly supported by
the remarkable staining of the large intestine and the ileo-cæcal valve.
The exact mechanism of the absorption of lead from its compound with
albumin or peptone as a lead peptonate or albuminate is very difficult
to state at present; lead albuminate is undoubtedly insoluble in water
or normal saline and in albumin. The process of absorption, then,
of the metal lead from the gastro-intestinal canal is very closely
related to the absorption of other heavy metals, and the fact that
animals after very large doses of lead salts administered via the mouth
show hæmorrhages in the intestinal wall, in addition to hæmorrhages in
other parts of the body, with occasional distinct ulceration, suggests
a localized coagulative action on the vessels in the wall of the
intestine as the probable origin of the ulceration. A consideration
of this problem of lead absorption from the intestine--probably only
the minutest quantity of lead, if any, is absorbed from the stomach
direct--is one of considerable importance in the prevention of such
lead poisoning as is attributable to swallowing lead. No work in a lead
factory should be commenced in the morning without partaking of food,
because if food be present the opportunities for absorption of lead are
greatly diminished, and of all foods the one to be recommended as the
most efficient is milk, or cocoa made with milk.
The absorption of dust through the lung is probably an exceedingly
complicated reaction, and Armit’s experiments with nickel carbonyl
probably give the clue. He found that in nickel carbonyl poisoning the
volatile product was split up on the surface of the lung cells, the
metallic portion passing onwards into the lung itself, to be eventually
absorbed by the serum.
Public-domain text, read in full here on John Shaqi.
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