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
A good deal of experimental work has also been performed in one way
or another--mainly by feeding with, or inoculation of, considerable
quantities of soluble lead salts--but, with one or two notable
exceptions, such experiments have not carried the knowledge of the
true pathology of lead poisoning very much farther. The statement is
not uncommonly made that no definite correlation exists between the
symptoms observed in animals and those observed in man, the reason
being that the massive doses given to animals cannot be similar to,
nor can they produce results comparable with, the slow intoxication
taking place in man; although the after-history of the majority of
cases of acute poisoning shows that the symptoms suffered are generally
identical with the severer symptoms seen in cases of chronic poisoning
of industrial origin. One of the chief reasons explaining this
remarkable point of view arises from the fact that the tissues which
come into the hands of the pathologist for post-mortem and histological
examination are as a rule derived from cases of chronic poisoning,
cases in which the acute symptoms have drifted into the subacute or
chronic stage, when any minute changes existing in the initial stages
of the poisoning have long since disappeared, or their significance has
been so far obscured by secondary changes that the primary lesions are
lost sight of.
A critical examination of the very large amount of literature published
on lead poisoning negatives the idea that acute and chronic poisoning
differ fundamentally in their pathology, and observers are found
describing identical pathological lesions resulting from acute or
chronic industrial poisoning. It is impossible to review the whole of
the existing literature. Kobert[1], in summing up the general effect of
lead upon the animal body, makes the following general statement: “Lead
affects especially the striped and unstriped muscles, the epithelium of
the excretory glands, the neuroglia of the central nervous system, and
is essentially a protoplasmic poison.”
We base our knowledge on definite experiments, so arranged that the
method of exposure was in every way similar to that in lead industries.
The only point of difference that can be urged against them is one
of degree; but as the train of symptoms produced was in every way
comparable with those suffered by man, this objection cannot be
sustained. The fact that the symptoms develop in a shorter time than
they do in industrial processes is merely a function of the intensity
of the poisoning.
An attempt will be made first to summarize the literature on the
pathology of lead poisoning, and, as such literature covers an immense
amount of ground, to group the pathological findings of various
observers, as far as possible, under four main headings--namely:
Gastro-intestinal system.
Nervous system.
Excretory system.
Circulatory system.
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