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March 1934

Chronic Nephritis and Lead Poisoning.

Arch Intern Med (Chic). 1934;53(3):478. doi:10.1001/archinte.1934.00160090155012

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This interesting monograph is based on the author's careful etiologic study of a type of chronic nephritis occurring among the children and young adults of Queensland, the prevalence of which is out of proportion to that observed in the other states of Australia.

The work is a distinct addition to the present knowledge of plumbism in that it establishes a definite relationship between the constant ingestion of lead and the well known signs of intoxication and late sequelae in the form of a chronic vascular type of Bright's disease. Nye shows logically that the usual known causes of chronic nephritis do not operate in the tropical climate of Queensland; streptococcic infections are relatively rare. On the other hand, he establishes a convincing association with lead poisoning acquired earlier in a large proportion of the cases cited. Lead paint, altered to scaly or powdery forms of the carbonate as the result

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