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Lead-induced peripheral neuropathy following Ayurvedic medication
Surjit Singh1, K K Mukherjee, K D Gill
1Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India. surjit51@hotmail.com
Indian Journal of Medical Sciences
|October 7, 2009
Summary
Ayurvedic medications can cause lead poisoning, leading to peripheral neuropathy. Prompt treatment with d-Penicillamine effectively lowered lead levels in a diabetic patient.
Area of Science:
- Toxicology
- Neurology
- Integrative Medicine
Background:
- Ayurvedic medicine use is increasing globally.
- Concerns exist regarding heavy metal contamination in some Ayurvedic products.
- Lead poisoning can cause serious neurological complications.
Observation:
- A 58-year-old type II diabetic man developed peripheral neuropathy after consuming Ayurvedic medication.
- He presented with elevated blood and urinary lead levels.
- His diabetes was previously well-controlled with diet and pioglitazone.
Findings:
- The patient was diagnosed with subacute lead poisoning.
- Treatment with d-Penicillamine for 8 weeks normalized his lead levels.
- Peripheral neuropathy symptoms likely stemmed from lead toxicity.
Implications:
- This case highlights the potential neurotoxicity of contaminated Ayurvedic medicines.
- Early diagnosis and chelation therapy are crucial for managing lead poisoning.
- Healthcare providers should inquire about herbal and alternative medicine use in patients with unexplained symptoms.
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