title: Lead poisoning in a 16-year-old girl: a case report and a review of the literature (CARE compliant).
abstract: BACKGROUND
  Lead is a toxic element of the environment which leads to major complications once it enters the blood stream, affecting multiple organs and systems of the body.
  
  
  METHODS
  We present the case of a 16-year-old girl, diagnosed with lead poisoning after occupational exposure due to the fact that the girl was actively involved in the family's pottery business.History revealed that the girl participated in the process of pottery, her father was also diagnosed with lead poisoning 2 years before. The patient's personal history underlined that approximately 1 year ago she presented with severe abdominal pain, being diagnosed with acute appendicitis and she underwent appendectomy, but the pain persisted, thus due to family history of lead poisoning, the suspicion of saturnine colic rose, and she was diagnosed with lead poisoning. The main symptoms and signs were severe abdominal pain, vomiting, and arterial hypertension. The clinical evolution was favorable under symptomatic treatment and chelation therapy.
  
  
  RESULTS
  Lead toxicity is a life-threatening condition because of its severe acute and chronic complications. In children, there is no safe blood lead level, prevention methods are, therefore, very important in order to avoid toxic multiorganic effects of this metal.
  
  
  CONCLUSIONS
  Even though the diagnosis of lead poisoning remains difficult in children, it must also be taken into consideration by the clinician facing a child with gastrointestinal or neurological involvement.
authors.affiliation: Department of Pediatrics I Department of Occupational Health, University of Medicine and Pharmacy, Tîrgu Mureş Department of Pediatrics, University of Medicine and Pharmacy, Gr. T. Popa Iaşi, Romania.
authors.forename: Cristina Oana
authors.initials: CO
authors.lastname: Mărginean
authors.forename: Lorena Elena
authors.initials: LE
authors.lastname: Meliţ
authors.forename: Horaţiu
authors.initials: H
authors.lastname: Moldovan
authors.forename: Vasile Valeriu
authors.initials: VV
authors.lastname: Lupu
authors.forename: Maria Oana
authors.initials: MO
authors.lastname: Mărginean
mesh_terms: D000293:Adolescent; D002614:Chelating Agents / Q000627:therapeutic use; D004492:Edetic Acid / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007854:Lead / Q000097:blood*; D007855:Lead Poisoning / Q000175:diagnosis* / Q000188:drug therapy; D016273:Occupational Exposure
chemical_list: D002614:Chelating Agents; D007854:Lead; D004492:Edetic Acid