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Two Cases of Lead Poisoning due to Herb Medicinal Pills

Korean Journal of Pediatrics 2005;48(9):1009-1015.
Published online September 15, 2005.
Two Cases of Lead Poisoning due to Herb Medicinal Pills
Seong Hwan Choi, Eun Young Park, Jung Yeon Shim, Deok Soo Kim, Jae Won Shim, Hye Lim Jung, Moon Soo Park
Department of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
환약으로 제조된 한약에 의한 급성 납중독 2례
최성환, 박은영, 박문수, 김덕수, 심재원, 심정연, 정혜림
성균관대학교 의과대학 소아과학교실
Correspondence: 
Moon Soo Park, Email: parkms@kbsmc.co.kr
Abstract
We encountered two children with lead poisoning who were administered herb medicinal pills recommended by their clergyman. These patients presented anemia and severe coliky abdominal pain, but no neurologic symptoms. For this reason, they were initially misdiagnosed with gastrointestinal hemorrhagic disease. However, we got a clue that they took herb medicinal pills. Finally, based on the assay of blood lead level, we made a correct diagnosis of lead poisoning in these patients. These patients underwent chelating therapy. Subsequently, the concentration of blood lead was decreased. Finally, we drew a conclusion that the possibility of lead poisoning must be considered in children who complained of colicky abdominal pain accompanying anemia. Here, we report two pediatric cases of lead poisoning with a review of literature.
Key Words: Lead poisoning , Abdominal pain , Colic , Anemia , Chelating therapy , Herb medicinal pills


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