1/21. Lead induced anaemia due to traditional Indian medicine: a case report.Lead intoxication in adults without occupational exposure is a rare and unexpected event. The case of a western European is reported who had severe anaemia after ingestion of several ayurvedic drugs, obtained during a trip to india. Laboratory findings showed high blood lead concentrations, an increased urinary lead concentration, and an increased urinary excretion of delta-aminolaevulinic acid. Also, slightly increased urinary concentrations of arsenic and silver were found. physicians should be aware that with growing international travel and rising self medication with drugs from uncontrolled sources the risk of drug induced poisoning could increase in the future.- - - - - - - - - - ranking = 1keywords = medicine (Clic here for more details about this article) |
2/21. Three patients with lead poisoning following use of a Chinese herbal pill.We report on three patients with lead poisoning following use of the Chinese herbal pill Bao ning dan, prepared by the same traditional Chinese medicine practitioner. The patients had varying degrees of exposure to Bao ning dan and different clinical manifestations. blood lead concentrations did not correlate with clinical severity. Two patients received chelating therapy and blood lead concentrations subsequently rapidly decreased. One patient was managed conservatively and end-organ complications resolved gradually. With increasing use of traditional Chinese medicines, related adverse reactions are expected to become increasingly common. Practitioners of western medicine should remain alert to this possibility. A comprehensive drug review, including the use of herbal medicines, should form a routine part of medical history taking.- - - - - - - - - - ranking = 186.45216768342keywords = herbal medicine, medicine (Clic here for more details about this article) |
3/21. adult lead poisoning from a herbal medicine.A 56-year-old Indian lady presented with one week history of abdominal pain, jaundice and chronic polyarthralgia. She had evidence of hemolytic anemia and hepatitis. Her blood lead level was high and a peripheral blood film showed dense basophilic stippling. It is believed that the lead toxicity was due to the use of Indian herbal medicine.- - - - - - - - - - ranking = 928.51083841711keywords = herbal medicine, medicine (Clic here for more details about this article) |
4/21. Pain in abdomen--do not forget lead poisoning.Lead toxicity has been recognized for thousands of years, and is still around. We encountered 11 patients with lead toxicity in the last two years. All patients had presented with diffuse pain in the abdomen, anemia and mild derangements of liver biochemistry. History of intake of indigenous or herbal medicine for diabetes mellitus or psychosexual disorders was present in eight patients. All of them had elevated blood lead levels. abdominal pain responded promptly to treatment with chelating agents.- - - - - - - - - - ranking = 185.70216768342keywords = herbal medicine, medicine (Clic here for more details about this article) |
5/21. lead poisoning from Indian herbal medicine (Ayurveda)OBJECTIVE: To present a case of lead poisoning following ingestion of Indian herbal medicine. CLINICAL FEATURES: A 37-year-old man presented with a history of abdominal pain, anorexia and malaise. He had recently returned from a trip to india where he had been taking two different herbal tonics. Investigation revealed low-grade hepatitis and normocytic anaemia with prominent basophilic stippling. The blood lead concentration was high, and analysis of the herbal tablets revealed a very high lead content. INTERVENTION AND OUTCOME: The patient required narcotic analgesia for abdominal pain and was treated with chelation therapy with calcium ethylenediaminetetra-acetate (calcium EDTA) for five days which resulted in a high urinary excretion of lead and resolution of his symptoms over a period of several days. CONCLUSION: lead poisoning in australia is usually the result of chronic industrial exposure, but practitioners should be aware of the possibility of poisoning from other domestic sources such as unglazed pottery, cosmetics and herbal remedies, especially those from Asia and india, in which lead may be present in high concentration. patients from Asia who present with unexplained anaemia or abdominal symptoms should be asked about exposure to such sources.- - - - - - - - - - ranking = 928.51083841711keywords = herbal medicine, medicine (Clic here for more details about this article) |
6/21. lead poisoning after ingestion of home-made Chinese medicines.A young woman presented with non-specific generalized musculoskeletal pain. Investigations revealed anaemia, raised reticulocyte count, basophilic stippling and erythroid hyperplasia of the bone marrow. Further history showed that she had been taking home-made Chinese medicines for acne for two months and the blood lead level confirmed the diagnosis of lead poisoning. The medications were stopped and her condition gradually improved. Incorporating the use of herbal medicines into the routine medical history is important in early identification of herbal poisoning.- - - - - - - - - - ranking = 186.95216768342keywords = herbal medicine, medicine (Clic here for more details about this article) |
7/21. Cognitive deficits and magnetic resonance spectroscopy in adult monozygotic twins with lead poisoning.Seventy-one-year-old identical twin brothers with chronic lead poisoning were identified from an occupational medicine clinic roster. Both were retired painters, but one brother (J.G.) primarily removed paint and had a history of higher chronic lead exposure. patella and tibia bone lead concentrations measured by K-X-ray fluorescence in each brother were 5-10 times those of the general population and about 2.5 times higher in J.G. than in his brother (E.G.). magnetic resonance spectroscopy (MRS) studies examined N-acetylaspartate:creatine ratios, a marker of neuronal density. Ratios were lower in J.G. than in his brother. Scores on neurocognitive tests that assess working memory/executive function were below expectation in both twins. Short-term memory function was dramatically worse in J.G. than in his brother. These results demonstrate some of the more subtle long-term neurologic effects of chronic lead poisoning in adults. In particular, they suggest the presence of frontal lobe dysfunction in both twins, but more dramatic hippocampal dysfunction in the brother with higher lead exposure. The MRS findings are consistent with the hypothesis that chronic lead exposure caused neuronal loss, which may contribute to the impairment in cognitive function. Although a causal relation cannot be inferred, the brothers were genetically identical, with similar life experiences. Although these results are promising, further study is necessary to determine whether MRS findings correlate both with markers of lead exposure and tests of cognitive function. Nevertheless, the results point to the potential utility of MRS in determining mechanisms of neurotoxicity not only for lead but also for other neurotoxicants as well.- - - - - - - - - - ranking = 0.25keywords = medicine (Clic here for more details about this article) |
8/21. lead poisoning associated with ayurvedic medications--five states, 2000-2003.Although approximately 95% of lead poisoning among U.S. adults results from occupational exposure, lead poisoning also can occur from use of traditional or folk remedies. Ayurveda is a traditional form of medicine practiced in india and other South Asian countries. Ayurvedic medications can contain herbs, minerals, metals, or animal products and are made in standardized and nonstandardized formulations. During 2000-2003, a total of 12 cases of lead poisoning among adults in five states associated with ayurvedic medications or remedies were reported to CDC. This report summarizes these 12 cases. Culturally appropriate educational efforts are needed to inform persons in populations using traditional or folk medications of the potential health risks posed by these remedies.- - - - - - - - - - ranking = 0.25keywords = medicine (Clic here for more details about this article) |
9/21. lead poisoning caused by Indian ethnic remedies in italy.BACKGROUND: Complementary or alternative medicine has become widespread in Western Countries and since the remedies are "natural" they are believed to be free of toxic effects and health risks. Ethnic remedies may contain lead, other metals and toxic substances. OBJECTIVES: To show how lead poisoning as a result of using ethnic remedies may be severe enough to cause serious damage to health, and to increase awareness among family doctors and occupational physicians of the risks associated with ethnic remedies. methods AND RESULTS: Description of ethnic remedy-related lead poisoning in 2 native Italian adults, with clinical, laboratory and toxicological data. CONCLUSIONS: When metal poisoning is diagnosed, ethnic remedies should be included among the putative sources so as to avoid erroneous attribution to workplace exposure and application of unneeded preventive measures.- - - - - - - - - - ranking = 0.25keywords = medicine (Clic here for more details about this article) |
10/21. lead poisoning due to ingestion of Indian herbal remedies.A case of lead poisoning is presented. The patient had recently returned to new zealand from the Indian subcontinent. This prompted a search that identified lead contamination of ingested medicinal products that had been prescribed in india. There have been several case reports of lead toxicity due to contamination of Indian herbal medicines, though none, to our knowledge, previously reported from new zealand.- - - - - - - - - - ranking = 185.70216768342keywords = herbal medicine, medicine (Clic here for more details about this article) |
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