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April 11, 1914

AN INTERESTING CASE OF CHRONIC LEAD-POISONING WITH RELAPSE FOLLOWING FRESH EXPOSURE

Author Affiliations

PHILADELPHIA

JAMA. 1914;LXII(15):1164-1165. doi:10.1001/jama.1914.02560400032011
Abstract

The following case, showing the effects of lead intoxication, principally on the nervous system, is presented here because of the fact that it illustrates some interesting points in the clinical course and urinary findings of the condition:

History.  —Mr. N. E. H., aged 45, weight 151 pounds, height 5 feet 9 inches, was referred to me, Nov. 21, 1913, by Dr. W. H. Hartzell. The family history was negative except that the patient's father, who was a worker in lead, died of paresis due to plumbism. He had had no lead colic, but wrist-drop, ptosis of one eyelid and optic atrophy followed by symptoms of general paralysis of the insane. No members of the family, other than father and son (the patient) were exposed to lead, and hence no additional cases of intoxication occurred in the household. We may, however, assume that susceptibility, which varies markedly in different families, was

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