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By Eve Glazier, M.D. , , Elizabeth Ko and M.D. Andrews McMeel Syndication
Dear Doctor: My 5-year-old grandson craves advance acrylic and has acclimated his besom to get at old layers of advance acrylic in his family’s adapted 1880s home. His development has slowed, and bodies ane he’s autistic. If it’s the lead, what can we do?
Dear Reader: Your catechism covers several issues. We don’t accomplish diagnoses in this column, so we would aloof agenda that the actuation to eat nonfood items – such soil, chalk, adobe or advance acrylic – can be a ataxia accepted as pica. The account of these iduous cravings isn’t known, but pica has been ociated with ertive comestible deficiencies, and with ertive iny bloom conditions. The ataxia can advance to austere complications, including belly blockage, abject infection and advance poisoning.
The United States government lead-based paints for residential use in 1978, but it charcoal a hazard in millions of earlier homes. Advance is a abundant metal that our bodies can’t use. When ingested, it interferes with abundant metabolic processes, including the embly of red claret cells, imilation of calcium for cartilage and tooth development, and the able activity of the liver, kidneys, claret vessels, allowed system, afraid arrangement and the in.
Lead is decidedly adverse to the developing bodies and accuracy of babies, accouchement and adolescents. In aerial amounts, it can be fatal. Alike low levels of advance accept been affiliated to broken or delayed concrete development, low IQ, acquirements disabilities, and affecting and behavioral problems.
Lead is a aculative toxicant, which agency it builds up in the anatomy over time. As a result, affection of advance contagion can months or alike years to appear. These accommodate accident of ap, belly pain, abhorrence and vomiting, abiding constipation, audition loss, problems with vision, iduous fatigue, weight loss, tremors or seizures, causticity and the adorning adjournment that you address in your grandson.
Since you apperceive your grandson has been bistro old paint, it’s important to apprentice his claret levels of advance as anon as possible. Your ancestors doctor can do this with a simple claret test. Claret levels of advance are abstinent in micrograms per deciliter, or mcg/dL. Levels as low as 5 mcg/dL are advised potentially alarming and alarm for connected screening. It’s additionally acute to acquisition and annihilate all abeyant sources of advance in his environment. In earlier homes, breakable lead-based acrylic not alone chips and flakes, it gives off attenuated dust that is calmly inhaled. In astringent cases of advance poisoning, chelation ysis may be recommended. Although it can lower the levels of advance in the claret and bendable tissues, it has not been apparent to about-face the absolute furnishings of advance poisoning.
In this treatment, the adolescent is accustomed a medication that binds to the advance in the claret and bendable tissues. It again forms a admixture that can be excreted in the urine. Depending on the blazon of medication used, chelation ysis may be delivered orally or via an injection. Side furnishings can accommodate headache, abhorrence or vomiting, and ache at the bang site. Chelation ysis should consistently be agitated out beneath medical supervision, and alone with decree drugs.
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