Lead poisoning associated with an Indian-manufactured unauthorized dietary supplement

• TOGITANI Kazuto

  Department of Hematology, Kochi Medical School, Kochi University

• EDA Masashi

  Department of Internal Medicine, Aki General Hospital

• ASAGIRI Tadashi

  Department of Laboratory Medicine, University of Kochi

• KOJIMA Kensuke

  Department of Hematology, Kochi Medical School, Kochi University

Bibliographic Information

Other Title

• 国内未承認の輸入サプリメントによる鉛中毒
• コクナイ ミショウニン ノ ユニュウ サプリメント ニ ヨル ナマリ チュウドク

Abstract

We report the case of a patient with lead poisoning caused by a dietary supplement. A 40-year-old man was referred to us due to intermittent upper abdominal pain and normocytic anemia. His hemoglobin level was 9.3 g/dl, with basophilic stippling in 2.8% of red blood cells. Bone marrow aspirate smear showed ringed sideroblasts that represented 19% of the erythroblasts. The patient reported the use of an unauthorized, Indian-manufactured dietary supplement and was diagnosed with lead poisoning based on a significantly high blood lead level. The dietary supplement was discontinued, and he was successfully treated with lead chelation therapy, and his hemoglobin level normalized within 2 months.

Journal

• Rinsho Ketsueki

  Rinsho Ketsueki 62 (4), 267-269, 2021

  The Japanese Society of Hematology

Keywords

• Lead poisoning
• Dietary supplement
• Basophilic stippling
• Ringed sideroblasts

Details

• CRID: 1390006464326276352
• NII Article ID: 130008035433
• NII Book ID: AN00252940
• DOI: 10.11406/rinketsu.62.267
• ISSN: 18820824
• ISSN: 04851439
• NDL BIB ID: 031499366
• PubMed: 33967151
• Web Site: http://id.ndl.go.jp/bib/031499366
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I031499366
• Web Site: https://search.jamas.or.jp/link/ui/2021269237
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed