title: [Anemia due to chronic lead poisoning].
abstract: We report a case of anemia due to chronic lead poisoning. A 46-year-old female was admitted to our hospital because of general fatigue and anemia. A peripheral blood smear showed basophilic stippling. There was basophilic stippling and nuclear dysplasia of erythroblasts in the bone marrow. Laboratory findings were as follows: RBC 296 X 10(4)/microliter, Hb 8.5 g/dl, blood lead concentration 67 micrograms/dl, urinary lead concentration 309 micrograms/l, blood delta-ALA dehydrase 0.03 mumol/ml, urinary delta-ALA 25.2 mg/l, urinary coproporphyrin 8,810 micrograms/g.Cr, and blood protoporphyrin 612 micrograms/dl. Chronic lead poisoning was diagnosed and she was treated with Ca-EDTA.
authors.affiliation: First Department of Internal Medicine, Kurume University School of Medicine.
authors.forename: K
authors.initials: K
authors.lastname: Tanaka
authors.forename: A
authors.initials: A
authors.lastname: Sakamoto
authors.forename: K
authors.initials: K
authors.lastname: Shiraishi
authors.forename: M
authors.initials: M
authors.lastname: Tanaka
authors.forename: S
authors.initials: S
authors.lastname: Fukahori
authors.forename: K
authors.initials: K
authors.lastname: Mizunoe
authors.forename: K
authors.initials: K
authors.lastname: Masuchi
authors.forename: H
authors.initials: H
authors.lastname: Jojima
authors.forename: S
authors.initials: S
authors.lastname: Osabe
authors.forename: Y
authors.initials: Y
authors.lastname: Imamura
authors.forename: J
authors.initials: J
authors.lastname: Honda
authors.forename: K
authors.initials: K
authors.lastname: Egami
authors.forename: H
authors.initials: H
authors.lastname: Natori
authors.forename: K
authors.initials: K
authors.lastname: Oizumi
mesh_terms: D000740:Anemia / Q000209:etiology*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007855:Lead Poisoning / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged