Basophilic stippling was seen on the blood smear. Levels of serum lead (Pb) and free erythrocyte protoporphyrin were 9.66 µmol/L (200 µg/dL) and 2.78 µmol/L, respectively. A cranial computed tomogram showed no abnormalities. At hospital admission, no cosmetic products were seen on the face; however, the mother did note regularly applying kohl, a Pb-containing eye cosmetic, to the infant's eyelids. Hypocalcemia was corrected with intravenous calcium gluconate, and chelation therapy with intravenous calcium sodium edetate was given for 5 days. The infant rapidly improved, and the serum Pb value dropped to reference levels over the next few weeks. The family was educated to avoid using Pb-containing products.