Title |
Plumbism or lead intoxication mimicking an abdominal tumor
|
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Published in |
Journal of General Internal Medicine, June 2006
|
DOI | 10.1111/j.1525-1497.2006.00328.x |
Pubmed ID | |
Authors |
Peter Dedeken, Vernon Louw, Ann-Karolien Vandooren, Geert Verstegen, Willy Goossens, Bénédicte Dubois |
Abstract |
The clinical presentation of lead intoxication may vary widely and in the absence of a high clinical index of suspicion, the diagnosis may be missed. The effects of lead on mitochondrial oxidative phosphorylation and its interaction with calcium-mediated processes explain the heterogenous presentation. In this case report, the diagnosis was finally made when bilateral wrist drop developed on top of abdominal cramps and anemia. Before, ascites raised the suspicion of a tumor. Therefore, each element of the triad of unexplained anemia, abdominal cramps, and bilateral wrist (or foot) drop should lead any physician to consider the diagnosis of lead intoxication. This case also illustrates the importance of a careful and meticulous social history in patient management. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 16 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 3 | 19% |
Student > Master | 2 | 13% |
Student > Ph. D. Student | 2 | 13% |
Researcher | 2 | 13% |
Other | 1 | 6% |
Other | 1 | 6% |
Unknown | 5 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 4 | 25% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 13% |
Nursing and Health Professions | 2 | 13% |
Biochemistry, Genetics and Molecular Biology | 1 | 6% |
Psychology | 1 | 6% |
Other | 1 | 6% |
Unknown | 5 | 31% |