Folk prescription for treating rhinitis as a rare cause of childhood lead poisoning: A case series

Xiao Lan Ying, Morri E. Markowitz, Chong Huai Yan

Research output: Contribution to journalArticle

Abstract

Background: Folk prescriptions continue to be important sources of childhood lead poisoning. Nasal spray folk prescriptions for treating rhinitis has only been reported once previously as a cause of lead poisoning. Case presentation: We identified three pediatric cases of severe lead poisoning caused by nasal spray folk medicines prescribed for treating rhinitis. The three patients had similar clinical manifestations including: severe abdominal pain, headache, pale appearance and fatigue. Liver function tests were abnormal. Blood lead levels (BLLs) of the three patients were 91 μg/dL, 91 μg/dL, and 105 μg/dL, respectively. After chelation BLLs decreased. The lead content of the three folk remedies as measured by inductively coupled plasma mass spectrometry (ICP-MS) were 14.8, 22.3, and 33.4%. All the symptoms resolved during a course of chelation therapy. There were no severe side effects of treatment. Conclusions: Nasal spray folk prescriptions for treating rhinitis may contain extremely high bio-accessible lead content and are potential sources of lead poisoning. Clinicians should be alert to this possibility especially in those children presenting with multisystem symptoms.

Original languageEnglish (US)
Article number219
JournalBMC Pediatrics
Volume18
Issue number1
DOIs
StatePublished - Jul 6 2018

Fingerprint

Lead Poisoning
Rhinitis
Nasal Sprays
Prescriptions
Traditional Medicine
Chelation Therapy
Liver Function Tests
Abdominal Pain
Fatigue
Headache
Mass Spectrometry
Pediatrics
Lead
Therapeutics

Keywords

  • Child
  • Folk medicine
  • Lead poisoning
  • Nasal spray
  • Rhinitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Folk prescription for treating rhinitis as a rare cause of childhood lead poisoning : A case series. / Ying, Xiao Lan; Markowitz, Morri E.; Yan, Chong Huai.

In: BMC Pediatrics, Vol. 18, No. 1, 219, 06.07.2018.

Research output: Contribution to journalArticle

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