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
Still more recently, and due, no doubt, to a great extent to the work
of Elschnig, further attention has been drawn to the vascular system in
lead poisoning. Elschnig’s work has carried the question another stage
forward by showing the association of vaso-motor disturbances with eye
disease, whilst in this country Oliver[75] pointed out the effect upon
the pulse of abdominal colic.
At the beginning of the researches on this point described in the
next chapter, this clue running through the whole of the pathology
of lead poisoning was not appreciated. At the commencement of the
investigations there seemed to be no main general line of symptoms or
histological findings that could be adduced as characteristic of lead
poisoning; in fact, the initial experiments were performed, with the
object of examining the association of lung-absorbed lead compounds as
a possible cause of lead poisoning, as against the entrance of lead
by the alimentary canal; but as the experiments proceeded it became
clear that the stress of the initial intoxication was undoubtedly
falling upon the bloodvessels, and more particularly upon the minuter
bloodvessels, and less on the arterial side of the capillaries
(although the capillaries were to a large extent associated with the
process) than upon the venous radicles.
A general consideration of the pathology shows that lead causes
changes in the nervous system affecting both upper and lower segments,
degeneration of the ganglion cells in the cord and in the brain,
interstitial inflammation of the neuroglia, cortical degeneration,
distinct neuritis, both axial and peri-axial, of the peripheral nerves,
and also signs of change in the sympathetic nervous system in chronic
lead poisoning. Later work has, however, all tended to point out that
the chief and first effect of lead is upon the blood.
Moritz[76] first pointed out the presence of basophile granules in the
red blood-cells. The work was followed up by Emden[77], Gravitz[78],
Zinn[79], Otto[80], Silbert[81], and by Escherich[82]. All these
authors found basophilic erythrocytes in the blood associated
with blood-destruction, and Escherich in addition describes early
changes taking place in the intima of the bloodvessels associated
with vaso-constriction. The Italian author Mattirolo[83], as well as
Marchet[84] and Jores[85], came to a similar conclusion. Glibert of
Brussels[86], carrying the observations somewhat farther, and although
working with guinea-pigs, which normally show basophilic staining
in their blood-cells, was able to demonstrate one further point of
considerable value--namely, the increase in the viscosity of the blood,
with blood-corpuscles of greater toughness, elasticity, and power to
resist destruction when making films, than in normal blood.
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