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
From the pathological and histological investigations described on p.
81, and from the fact that particles of lead are very readily taken
up by white blood-corpuscles, we can conclude that absorption of the
finer lead particles gaining access to the lung takes place through
the medium of these phagocyte cells, as such cells are well known to
exist within the alveoli of the lung. The stored-up carbon particles
found in the lungs in dwellers in cities show that such transference of
particles from the alveoli to the inner portions of the lung trabeculæ
is a constant phenomenon, and it is therefore easily understood how
rapidly any fine particles not of themselves irritant may be easily
taken up by the tissues. Once having gained access to the interior of
the cells, the particles subjected to the action of the serum of the
blood in the ordinary process of bathing the tissues by the exuding
lymph--nay, more, actual particles of lead--may thus be actually
transferred bodily into the finer blood-spaces, and so be carried
forward to the general circulation. Such particles as remain fixed in
the lung will undergo gradual absorption, and the constant presence of
carbonic acid in the circulating blood brought to the lung undoubtedly
largely contributes to their solution, and there is no need to
presuppose the necessity of some recondite interaction of organic acid
for the solution of the inhaled lead in the lungs.
In the absorption of the substance from the intestine, it may go direct
into the blood-stream in a similar fashion through the lacteals along
the lymph channels, and so into the thoracic duct, and finally into
the general circulation. On the other hand, a certain amount, probably
not an inconsiderable portion, is taken up by the portal circulation
and transferred direct to the liver itself. Chemical analysis of the
liver supports this view, as does also the considerable amount of
stress thrown upon the liver when poisoning has taken place from the
intestinal canal on administration of massive doses of a highly soluble
lead compound. According to Steinberg[16], excretion of lead takes
place partly from the liver by the bile. This is probable, but there
is no experimental evidence at the present time to support the view.
If such an excretion does take place, the form in which the lead is
excreted is probably one in which it is no longer soluble by digestive
action. On the other hand, it may be in so soluble a form as to become
reabsorbed from the intestine, thus setting up a constant cycle. But
such a theory is one that would require a considerable amount of
experimental evidence to support it before it could be relied on.
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