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Severe lead poisoning requiring hospitalization: A case report
Bryan Stierman1, Marissa Hauptman1, Alan D Woolf1
1Department of Pediatrics, Pediatric Environmental Health Center, Boston Children's Hospital; 300 Longwood Ave; Boston 02115, MA, United States; Department of Pediatrics, Harvard Medical School, United States; Region 1 New England Pediatric Environmental Health Specialty Unit, Boston, MA, United States.
Abstract:
Cases of severe childhood lead poisoning (a blood lead level (BLL) ≥45 mcg/dL) in the United States have decreased with time. Clinicians will encounter such cases only rarely. When such cases arise, however, recognizing their complexities and identifying resources that can help in management are important. We present here a case of severe childhood lead poisoning, highlighting the variable presentation, the rebound phenomenon of BLL after chelation, the usefulness of the zinc protoporphyrin as an adjunctive monitoring parameter, and the importance of early involvement of an inter-professional team.
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