Physiology and Pharmacology
Physiol Pharmacol
Medical Sciences
http://ppj.phypha.ir
32
journal32
24765236
24765244
10.61186/phypha
(previous ISSN: 17350581)
en
jalali
1400
4
1
gregorian
2021
7
1
25
2
online
1
fulltext
en
Extra ordinary high blood lead levels in Mashhad,Iran: a one-year study in a referral center
Blood and Immune System
Blood and Immune System
Experimental research article
Experimental research article
<div style="text-align: justify;"><strong>Introduction: </strong>Lead is a heavy metal with vast usage in the industry. Lead toxicity affects any organ in the body. It causes various clinical presentations, which leads to diagnostic complexity. Regarding recent increased observation of cases with lead toxicity in our center, we aimed to evaluate the frequencies of lead toxicity in patients referred to Imam-Reza Hospital’s laboratory and find a possible relationship between the blood lead level (BLL) and hematological and biochemical tests. <strong>Methods: </strong>From 2016 to 2017, the patients referred to Imam-Reza hospital’s laboratory to detect BLL enrolled in the study. Among them, 254 adult cases with BLLs≥10 μg/dl were selected. Complete blood counts and peripheral blood smear were done. Other lab data were extracted from hospital files. <strong>Results: </strong>The mean BLL of 1649 participants was 59.11±116.25 μg/dl, ranging from 0 to 1580. Sixty nine percent of them had lead toxicity. Eighty-one percent (n=1341) of patients were males and 18.7% (n=308) were females. In 254 selected cases, the mean BLL was 138.17±189.98 μg/dl. There were significant inverse correlations between BLL and red blood cell counts, hemoglobin, mean cell hemoglobin, total iron-binding capacity, target shape and basophilic stippling, as well as positive correlations between BLL and white blood cell counts, red cell distribution width, neutrophil counts and iron.<strong> Conclusion:</strong> Lead toxicity seems to be more frequent than it is expected. Patients with unexplained anemia with increased iron and decreased total iron-binding capacity are better to be evaluated for BLL.</div>
Lead toxicity, Opium, Hematological tests, Biochemical tests, Blood Lead Level.
116
124
http://ppj.phypha.ir/browse.php?a_code=A-10-1371-1&slc_lang=en&sid=1
Samaneh
Boroumand-Noughabi
3200319475328460029208
3200319475328460029208
No
Department of Hematology and Blood Banking, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Mohammad Reza
Keramati
Keramatimr@mums.ac.ir
3200319475328460029209
3200319475328460029209
Yes
Department of Hematology and Blood Banking, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Zahra
Sadrzadeh Sadrzadeh
3200319475328460029210
3200319475328460029210
No
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Zohreh
Asadi
3200319475328460029211
3200319475328460029211
No
Central Laboratory, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Shirin
Taraz Jamshidi
3200319475328460029212
3200319475328460029212
No
Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran