Lead poisoning due to incense burning: an outbreak in a family
Lead poisoning due to incense burning: an outbreak in a family
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烧香铅中毒：家庭爆发
DOI：
10.1080/15563650.2020.1853146
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发表时间：
2020
影响因子：
3.3
通讯作者：
Y. Hung
中科院分区：
文献类型：
--
作者：
D. Hung;Kai;Chin;Y. Hung
在亚洲和世界其他一些地区，烧香是一种重要的民俗和文化活动。然而，这种仪式可能会对健康造成影响，如慢性呼吸道疾病和肿瘤。在此，我们描述了一个家庭与铅中毒可能有关的频繁使用香在家里。病例报告一位65岁的家庭主妇，因严重贫血、下肢凹陷性水肿、骨痛、腹痛及劳力性呼吸困难数月来就诊。她的血液检查表明严重贫血，红细胞中有嗜碱性点彩，血铅水平（BLL）为59.75 μg/dL。她的丈夫、三个孩子和四个孙子也有很高的BLL。作为一名道教神职人员，她每天都要接触大量的烟雾，每天使用熏香超过30年。在实地调查中，长期沉积在家中隐蔽角落的灰尘中含有相当高的铅含量和其他有毒金属。讨论我们的观察表明，长期、频繁地接触熏香烟雾可能是导致铅中毒的一个原因。在有焚香习俗的社会中，严格避免熏香烟雾是预防儿童铅中毒的重要一步。
Abstract Background In Asia and some other regions of the world, incense burning is an important folk and cultural activity. However, this ritual can cause health impacts, such as chronic respiratory diseases and neoplasms. Herein, we describe a family with lead poisoning possibly related to the frequent use of incense sticks at home. Case report A 65-year-old homemaker with severe anemia, pitting edema of the lower legs, bone pain, abdominal pain, and exertional dyspnea for several months presented to our clinic. Her blood workup indicated severe anemia with basophilic stippling in red blood cells and blood lead level (BLL) of 59.75 μg/dL. Her husband, three children, and four grandchildren who lived with her also had high BLLs. As a Daoist clergy person, she had been exposed to a large amount of smoke from every day use of incense for >30 years. In the field investigation, the chronic dust deposited in hidden corners of their home had considerably higher lead content and other toxic metals. Discussion Our observations indicated chronic, frequent exposure to smoke from incense burning may be a cause of lead poisoning. Strict avoidance of incense smoke is a significant step toward preventing lead poisoning in children in societies with the custom of incense burning.