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Radiological changes in lead poisoning.
Alvarenga Fernandes, Daniel; Assunção Jorge, Marília; de Melo Alexandre Fraga, Andréa; Reis, Fabiano.
Afiliación
  • Alvarenga Fernandes D; Department of Radiology, School of Medical Sciences, University of Campinas (UNICAMP), São Paulo, Brazil.
  • Assunção Jorge M; Department of Radiology, School of Medical Sciences, University of Campinas (UNICAMP), São Paulo, Brazil.
  • de Melo Alexandre Fraga A; Department of Pediatrics, School of Medical Sciences, University of Campinas (UNICAMP), São Paulo, Brazil.
  • Reis F; Department of Radiology, School of Medical Sciences, University of Campinas (UNICAMP), São Paulo, Brazil.
Clin Toxicol (Phila) ; 62(6): 404-406, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38899783
ABSTRACT

INTRODUCTION:

Lead poisoning in childhood remains an important public health concern. We highlight the radiological findings in a patient with a high blood lead concentration. CASE

SUMMARY:

A 7-year-old girl presented to hospital with abdominal pain, nausea, and asthenia. Laboratory tests showed severe hypochromic microcytic anemia, punctate basophilic stippling of erythrocytes, and a blood lead concentration of 880 µg/L (4.3 µmol/L). IMAGES Radiographs of the femur, tibia, and fibula demonstrated dense metaphyseal bands ("lead lines"). On cranial computed tomography, we observed multiple speck-like and curvilinear hyperdensities involving subcortical regions, putamen, and left cerebellar hemisphere.

CONCLUSION:

In patients with lead poisoning, imaging of the brain and bones may show characteristic features. These imaging findings may point to the diagnosis of lead toxicity when these radiographic findings are discovered during the evaluation of vague complaints such as abdominal pain or mental status changes or when a blood lead concentration is not readily available.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Plomo / Intoxicación por Plomo Límite: Child / Female / Humans Idioma: En Revista: Clin Toxicol (Phila) Asunto de la revista: TOXICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Plomo / Intoxicación por Plomo Límite: Child / Female / Humans Idioma: En Revista: Clin Toxicol (Phila) Asunto de la revista: TOXICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido