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
Another cause of colic is suggested by Bokai[9]--namely,
hypersensibility of the intestinal nerves--and he cites as evidence
the diminution in pain produced by the administration of morphine; and
it is not improbable that some hypersensibility of the nervous system
of the intestine goes hand in hand with the vaso-constriction that has
been shown to exist, while, in addition, many observers have found
degenerative and even subacute inflammatory changes in the sympathetic
nervous system of the abdomen, mainly in the splanchnic area and the
solar ganglion. The action of vaso-dilator drugs on the pain of colic
demonstrates the close association of vaso-motor changes with the acute
paroxysmal pain.
Riegels[10] investigated the cause of colic in 200 cases. He found
that in every instance there was reason to suppose that toxic
vaso-constriction of the vessels in the splanchnic area, due to
irritation in the vaso-constrictor nerves, was brought about by the
action of lead.
Definite gastritis has also been described in some way simulating that
caused by arsenic, with thickening in the submucosa of the stomach and
intestine. Associated with this enteritis is endarteritis, atrophy of
the glands, and Lieberkühn’s follicles. In the colon as well as the
ileum was a well-marked enteritis involving the muscular lesions of the
gut.
Various other authors describe degenerative processes with cirrhotic
changes in the gastro-intestinal tract. Amongst these, Galvini[11]
describes, in a case of death from very chronic lead poisoning, extreme
cachexia, perihepatitis, perisplenitis, atrophy of the stomach, liver,
and spleen, and chronic sclerosing peritonitis (saturnine peritonitis).
Associated with general changes in the abdominal cavity, marked
inflammation and sclerosis was found in the solar plexus. There is
said to be a very considerable correspondence between the condition of
the peritoneal cavity and its contents in lead poisoning and barium
poisoning. In some of the animals referred to in the description of the
experiments, marked inflammatory conditions of the small intestines and
colon were found, and in not a few instances definite ulceration and
signs of recent hæmorrhages were found scattered along the intestinal
tract. No sclerosis was found, however, in the peritoneal cavity,
though a common symptom of all the animals, whether poisoned by
inhalation, inoculation, or feeding, was the absence of practically all
fat from the peritoneal cavity, the omentum being represented by an
exceedingly thin membrane without any traces of fat whatever.
=Nervous System.=--Perhaps the oldest classical symptom of lead
poisoning is the potter’s palsy or wrist-drop due to interference
with the nerve-supply of the extensor muscles of the hand, leading to
inability to extend the wrist or the fingers on the arm, wasting of
the affected extensor muscles, and finally a claw-shaped hand due to
contractions produced by the pull of the unopposed flexor groups.
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