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Published on: September 11, 2018
Lead poisoning in children: a case report
Zineb Jouhadi1, Dalal Bensabbahia1, Fouad Chafiq2
1Pediatric Infectious Diseases Children's Hospital, Casablanca, Morocco.
Insights
Lead colic, a rare cause of abdominal pain, was diagnosed in a 2-year-old child presenting with acute abdomen. Diagnosis was confirmed by abdominal imaging, history of pica, and elevated blood lead levels, highlighting a rare presentation of lead poisoning.
Area of Science:
- Pediatrics
- Toxicology
- Gastroenterology
Background:
- Lead poisoning is a significant public health concern, particularly in pediatric populations.
- Lead colic, a rare manifestation of lead poisoning, can mimic acute abdominal conditions.
Observation:
- A 2-year-old child presented with symptoms suggestive of acute abdomen.
- Abdominal radiography revealed intra-colonic metallic particles, prompting suspicion of lead poisoning.
- Patient history included pica and consumption of peeling paint.
Findings:
- Elevated blood lead levels (BLL) confirmed the diagnosis of lead poisoning.
- The clinical presentation of lead colic in this case was unusual and mimicked acute abdomen.
Implications:
- This case underscores the importance of considering lead poisoning in children presenting with unexplained abdominal pain.
- Early diagnosis and intervention are crucial to prevent long-term health consequences of lead exposure.
- Public health strategies should focus on preventing childhood lead exposure, especially from environmental sources like old paint.
Abstract:
Lead colic is a rare cause of abdominal pain. The diagnosis of lead poisoning is most often mentioned in at risk populations (children, psychotic). We report the case of a 2 year old child that was presented for acute abdomen. Abdominal plain radiograph showed multiple intra-colonic metallic particles and suggested lead poisoning diagnosis. Anamnesis found a notion of pica and consumption of peeling paint. Elevated blood lead levels (BLL) confirmed the diagnosis. The lead poisoning is a public health problem especially in children, but its manifestation by a lead colic is rare and could simulate an acute abdomen table.
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