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Lead (Pb)
Sources of lead
include: old lead-pigment paints, lead acid batteries, industrial smelting and
alloying, some types of solders, ayruvedic herbs, some toys and
products from China, glazes on (foreign) ceramics, leaded (antiknock
compound) fuels, bullets and fishing sinkers, artist paints with
lead pigments, and leaded joints in some municipal water systems.
Most lead contamination occurs via oral ingestion of contaminated
food or water or by children mouthing or eating lead containing
substances. The degree of absorption of oral lead depends upon
stomach contents (empty stomach increases uptake) and upon the
body’s mineral status. Deficiency of zinc, calcium or iron may
increase lead uptake. Transdermal (skin) exposure is slight.
Inhalation has decreased significantly with almost universal use of
non-leaded automobile fuel.
Lead accumulates extensively in bone and inhibits formation
of heme and hemoglobin in erythroid precursor cells (blood cells). Bone lead can
be stored in bones for many years and is released to soft tissues
with bone remodeling that can be accelerated with growth, menopausal
hormonal changes and osteoporosis. Lead has physiological and
pathological effects on body tissues that may be manifested from
relatively low lead levels up to acutely toxic levels.
In children, developmental disorders and behavior problems
may occur at relatively low levels such as: loss of IQ, hearing loss,
and poor
growth. In order of occurrence with increasing lead concentration,
the following can occur: impaired vitamin D metabolism, initial
effects on erythrocyte and erythroid precursor cell enzymology,
increased erythrocyte protoporphyrin, headache, decreased nerve
conduction velocity, metallic taste, loss of appetite, constipation,
poor blood hemoglobin synthesis, colic, frank anemia, tremors,
nephrotoxic effects with impaired kidney excretion of uric acid,
neuropathy and encephalopathy (altered brain function and structure.
It is caused by diffuse
brain disease). At relatively low levels, lead can
participate in synergistic toxicity with other
toxic elements (e.g. cadmium, mercury).
.
