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September 1990, Vol 144, No. 9 >
Article | September 1990

Six Children With Lead Poisoning FREE

John A. Friedman, MD; Howard L. Weinberger, MD
[+] Author Affiliations

Accepted for publication February 6, 1990.

Reprint requests to Department of Pediatrics, 750 E Adams St, Syracuse, NY 13210 (Dr Friedman).


Am J Dis Child. 1990;144(9):1039-1044. doi:10.1001/archpedi.1990.02150330099031.
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• Although most commonly seen in children from lower socioeconomic backgrounds, all children are at risk for lead poisoning. Management is a potential problem for all primary care providers. Because few individuals in the primary care practice of pediatrics have many patients with lead poisoning, it may be difficult to understand the nuances of management. We describe six patients, each of whom reflects different aspects of lead poisoning in children, and discuss the lessons we have learned in the course of their treatment. We have found that graphic representation of the blood lead and erythrocyte protoporphyrin values is helpful in the longitudinal follow-up of these youngsters.

(AJDC. 1990;144:1039-1044)

REFERENCES

1 +
Lansdown R, Yule W. Lead Toxicity: History and Environmental Impact . Baltimore, Md: Johns Hopkins University Press; 1986;.
2 +
Needleman HL, Gunnoe C, Leviton A, et al.  Deficits in psychologic and classroom performance of children and elevated dentine lead levels . N Engl J Med . 1979;;300:689-695.
3 +
Bellinger D, Leviton A, Waternaux C, et al.  Longitudinal analysis of prenatal lead exposure and early cognitive development . N Engl J Med . 1987;;316:1037-1043.
4 +
McMichael A, Baghurst PA, Wigg NR, et al.  Port Pirie Cohort Study: Environmental exposure to lead and children's abilities at the age of four years . N Engl J Med . 1988;;319:468-475.
5 +
Preventing Lead Poisoning in Young Children . Atlanta, Ga: Centers for Disease Control; 1985;. US Dept of Health and Human Services.
6 +
Committee on Environmental Hazards and Committee on Accident and Poison Prevention.  Statement of childhood lead poisoning . Pediatrics . 1987;;79:457-465.
7 +
Weinberger HL, Post EM, Schneider T, et al.  An analysis of 248 initial mobilization tests performed on an ambulatory basis . AJDC . 1987;;141: 1266-1270.
8 +
Clark M, Royal J, Seeler R.  Interaction of iron deficiency and lead and the hematologic findings in children with severe lead poisoning . Pediatrics . 1988;;81:247-254.
9 +
Mahaffey KR, Annest JL, Roberts J, Murphy RS.  National estimates of blood lead levels, United States, 1976-1980: association with selected demographic and socioeconomic factors . N Engl J Med . 1982;;307:573-579.
10 +
Amitai Y, Graef JW, Brown MJ, et al.  Hazards of deleading homes of children with lead poisoning . AJDC . 1987;;141:758-760.
11 +
Rey-Alvarez S, Menke-Hargrave T.  Deleading dilemma: pitfall in the management of childhood lead poisoning . Pediatrics . 1987;;79:214-217.
12 +
Sayre JW, Charney E, Vostal J, et al.  House and hand dust as a potential source of childhood lead exposure . AJDC . 1974;;124:167-171.
13 +
Rosenblatt JS, Marcus SM.  Lead poisoning and eosinophilia . Vet Hum Toxicol . 1985;;28:292.
14 +
Elliot DL, Tolle SW, Goldberg L, Miller JB.  Pet-associated illness . N Engl J Med . 1985;;313: 985-995.
15 +
Zinkham WH.  Visceral larva migrans: a review and reassessment indicating two forms of clinical expression: visceral and ocular . AJDC . 1978;; 132:627-633.
16 +
Yudkin S.  Six children with coughs . Lancet . 1961;;2:561-563.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Lansdown R, Yule W. Lead Toxicity: History and Environmental Impact . Baltimore, Md: Johns Hopkins University Press; 1986;.
2 +
Needleman HL, Gunnoe C, Leviton A, et al.  Deficits in psychologic and classroom performance of children and elevated dentine lead levels . N Engl J Med . 1979;;300:689-695.
3 +
Bellinger D, Leviton A, Waternaux C, et al.  Longitudinal analysis of prenatal lead exposure and early cognitive development . N Engl J Med . 1987;;316:1037-1043.
4 +
McMichael A, Baghurst PA, Wigg NR, et al.  Port Pirie Cohort Study: Environmental exposure to lead and children's abilities at the age of four years . N Engl J Med . 1988;;319:468-475.
5 +
Preventing Lead Poisoning in Young Children . Atlanta, Ga: Centers for Disease Control; 1985;. US Dept of Health and Human Services.
6 +
Committee on Environmental Hazards and Committee on Accident and Poison Prevention.  Statement of childhood lead poisoning . Pediatrics . 1987;;79:457-465.
7 +
Weinberger HL, Post EM, Schneider T, et al.  An analysis of 248 initial mobilization tests performed on an ambulatory basis . AJDC . 1987;;141: 1266-1270.
8 +
Clark M, Royal J, Seeler R.  Interaction of iron deficiency and lead and the hematologic findings in children with severe lead poisoning . Pediatrics . 1988;;81:247-254.
9 +
Mahaffey KR, Annest JL, Roberts J, Murphy RS.  National estimates of blood lead levels, United States, 1976-1980: association with selected demographic and socioeconomic factors . N Engl J Med . 1982;;307:573-579.
10 +
Amitai Y, Graef JW, Brown MJ, et al.  Hazards of deleading homes of children with lead poisoning . AJDC . 1987;;141:758-760.
11 +
Rey-Alvarez S, Menke-Hargrave T.  Deleading dilemma: pitfall in the management of childhood lead poisoning . Pediatrics . 1987;;79:214-217.
12 +
Sayre JW, Charney E, Vostal J, et al.  House and hand dust as a potential source of childhood lead exposure . AJDC . 1974;;124:167-171.
13 +
Rosenblatt JS, Marcus SM.  Lead poisoning and eosinophilia . Vet Hum Toxicol . 1985;;28:292.
14 +
Elliot DL, Tolle SW, Goldberg L, Miller JB.  Pet-associated illness . N Engl J Med . 1985;;313: 985-995.
15 +
Zinkham WH.  Visceral larva migrans: a review and reassessment indicating two forms of clinical expression: visceral and ocular . AJDC . 1978;; 132:627-633.
16 +
Yudkin S.  Six children with coughs . Lancet . 1961;;2:561-563.

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