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 reason to exclude lead from the category of drugs which may
be absorbed through the medium of the skin, and, as several observers
have shown, animals may be poisoned by lead on applying a plaster of
lead acetate to the skin. Amongst these experiments may be quoted those
of Canuet[19] and Drouet[20] on rabbits. Some observers, among whom may
be mentioned Manouvrier[21], have attempted to prove that paralysis
of the hands occurs more often in the right hand in right-handed
people, in the left hand with left-handed people, and from the various
experiments showing absorption of lead through the unbroken skin they
seek to connect the lesion of the nerve with absorption direct through
the skin of the hands.
Many objections can be urged against acceptance of this theory. Lead
workers who are constantly manipulating lead in a state of solution
with bare hands do not appear as a class to be more subject to
wrist-drop than do persons who are exposed to inhalation of fumes or
dust of lead; in fact, incidence of paralysis and of nerve lesions
generally is more severe among persons exposed to prolonged inhalation
of minute quantities of lead through the respiratory tract. The greater
the exposure to dust, the greater the number of cases of anæmia and
colic, whilst in other industries, as has already been stated, where
lead exists as an oleate on the hands of the workers day in and day
out for many years, paralysis and even colic are of rare occurrence;
in other words, persons especially exposed to the absorption of lead
through their hands show a much smaller incidence of lead poisoning of
all types than do those exposed to lead dust. Further, the pathology of
wrist-drop and similar forms of paresis tends to show that the nerve
supplying the affected muscles is not affected primarily, but that the
initial cause is hæmorrhage into the sheath of the nerve, producing
ultimate degenerative change. The hæmorrhage, however, is the primary
lesion.
REFERENCES.
[1] GOADBY, K. W.: A Note on Experimental Lead Poisoning. Journal of
Hygiene, vol. ix., No. 1, April, 1909.
[2] LEGGE, T. M.: Report on the Manufacture of Paints and Colours
containing Lead (Cd. 2466). 1905.
[3] DUCKERING, G. E.: Journal of Hygiene, vol. viii., No. 4,
September.
[4] MEILLÈRE, G.: Le Saturnisme, chap. iv. Paris, 1903.
[5] ARMIT, H. W.: Journal of Hygiene, vol. viii., No. 5, November,
1908.
[6] TANQUEREL DES PLANCHES: Traité des Maladies de Plomb, ou
Saturnines. Paris, 1839.
[7] STANSKI: _Loc. cit._
[8] GAUTIER: Intoxication Saturnine, etc. Académie de Médecine,
viii., November, 1883.
[9] THRESH, J. C.: The Lancet, p. 1033, October 7, 1905.
[10] _Ibid._, January 5, 1909.
[11] THOMASON: Report of the Departmental Committee on Lead
Manufacture: Earthenware, China, vol. ii., appendices, p. 61. 1910.
[12] _Ibid._
[13] DIXON MANN: Forensic Medicine and Toxicology, p. 495. 1908.
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