title: [Abdominal pain, constipation and anemia].
abstract: We present the case of a 42-year old man who went to the emergency department because of spasmodic abdominal pain. The abdomen was soft. A gastroscopy and a colonoscopy were without pathological findings. The laboratory analyses indicated anemia. The differential blood count showed basophilic granules in the red blood cells. The blood lead level was elevated. A lead poisoning was diagnosed. The cause was the oral intake of an ayurvedic medication which the patient had received in Bangladesh to treat his vitiligo.
authors.affiliation: 1 Arbeits- und Umweltmedizin, Institut für Epidemiologie, Biostatistik und Prävention (EBPI), Universität Zürich.
authors.forename: Fabio
authors.initials: F
authors.lastname: Barresi
authors.affiliation: 2 Klinik und Poliklinik für Innere Medizin, Universitätsspital Zürich.
authors.forename: Isabel
authors.initials: I
authors.lastname: Kunz Caflish
authors.affiliation: 2 Klinik und Poliklinik für Innere Medizin, Universitätsspital Zürich.
authors.forename: Leena
authors.initials: L
authors.lastname: Bayly-Schinzel
authors.affiliation: 1 Arbeits- und Umweltmedizin, Institut für Epidemiologie, Biostatistik und Prävention (EBPI), Universität Zürich.
authors.forename: Holger
authors.initials: H
authors.lastname: Dressel
mesh_terms: D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D003085:Colic / Q000209:etiology*; D003248:Constipation / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D007855:Lead Poisoning / Q000175:diagnosis*; D008297:Male; D008515:Medicine, Ayurvedic; D014820:Vitiligo / Q000188:drug therapy
keywords: Anämie; Ayurvedisches Naturheilmittel; Bauchkoliken; Bleivergiftung; Obstipation; abdominal pain; anemia; ayurvedic medication; constipation; lead poisoning