Manejo de la intoxicación por plomo en la niñez

Translated title of the contribution: Managing childhood lead poisoning

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This paper reviews the clinical management of children with lead poisoning. A first step is to define the measures to be used in their assessment and be aware of the limitations. Measurements of blood lead levels can be made on anticoagulated whole blood samples using either: atomic absorption spectroscopy or anodic stripping voltametry. However a more accurate method is fluorescent RX'ray of the skeleton or systematic biochemical tests of lead levels in urine. Remedies include elimination of lead in the environment, changes in children's behavior and dietary checks for adequate calcium and iron intake. Chelation therapy, using Ca edetate and succimer eliminates lead from the skeleton, which is then quickly excleted using a cathartic to help prevent re-absorption. Chelation may save lives where BLLs are very high. There is usually a short term reduction of BLLs with a subsequent rise. Serious cases may require repeat therapies, Chelation should be considered in children with BLLs >=45 μg/dl. Chelation therapy reduces BLLs and associated symptoms. However cognitive decline may be irreversible, indicating that emphasis should be on prevention rather than cure.

Original languageSpanish
JournalSalud Publica de Mexico
Volume45
Issue numberSUPPL. 2
StatePublished - 2003

Fingerprint

Chelation Therapy
Lead Poisoning
Skeleton
Cathartics
Succimer
Child Behavior
Spectrum Analysis
Iron
Urine
Calcium
Lead

Keywords

  • Child
  • Lead poisoning/therapy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Manejo de la intoxicación por plomo en la niñez. / Markowitz, Morri E.

In: Salud Publica de Mexico, Vol. 45, No. SUPPL. 2, 2003.

Research output: Contribution to journalArticle

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