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
There is no doubt that, however absorbed, lead remains stored up in
the body in minute quantities in many places, and the close analogy
to arsenic is met with in the curious elimination of the metal by the
fæces. Cloetta[17], quoted by Dixon Mann, discovered that, although
dogs were unable to take a larger dose of arsenic than 0·0035 gramme
per day without exhibiting toxic results, they could nevertheless take
arsenic in much larger doses if it were given in the solid form, and he
was able to increase the dose to as much as 2 grammes per diem without
showing any toxic symptoms. Examination of the urine and fæces showed
that as the amount of urinary excretion of arsenic diminished, so that
in the fæces increased, and in lead poisoning, even in massive doses
swallowed in error, the amount of lead excreted by the urine rapidly
diminishes in quantity, although the patient may be still suffering
from the effects of lead poisoning. The experiments, also, quoted on
p. 100 constantly pointed to the elimination of lead by way of the
intestine, and in practically all the animals that had suffered from
chronic poisoning well-marked dark staining of the upper part of the
cæcum due to lead was invariably present. This staining and excretion
of lead of the large intestine undoubtedly takes place in man. In a
case described by Little[18], where diachylon had been administered,
the administration of a large enema containing sulphate of magnesium
came away black. A more detailed result of the experiments and a
consideration of the elimination of lead are reserved for another
chapter, but it is impossible to consider the ætiology of the disease
without some reference to the general histological channels of
absorption and excretion.
=Cutaneous Absorption of Lead.=--A considerable amount of controversy
has centred on the question of the absorption of lead through the
unbroken skin. It has been shown that such drugs as belladonna applied
to the skin alone may produce dilatation of the pupil; an ointment
containing salicylic acid spread upon the skin and thoroughly rubbed in
is followed by the appearance of derivatives of salicylic acid in the
urine; mercury may be applied to the skin, and rubbed in, in sufficient
quantities to produce salivation; and a very large number of other
drugs may be cited, all of which when applied to the unbroken epidermis
with friction produce the physiological action of the drug.
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