Clinical case analysis—stomachache, anemia, myasthenia, and urinary color abnormality
10.3760/cma.j.cn141217-20230522-00135
- VernacularTitle:临床病例评析——腹痛 贫血 肌无力 尿色异常
- Author:
Hui WEI
1
;
Jingfeng ZHANG
;
Yimu ZHENG
;
Zhongqiang YAO
;
Kun WANG
;
Jijun WANG
;
Rong MU
Author Information
1. 北京大学第三医院风湿免疫科，北京 100191
- Keywords:
Lead poisoning;
Stomachache;
Anemia;
Myasthenia;
Urinary color abnormality
- From:
Chinese Journal of Rheumatology
2023;27(11):752-755
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the differential awareness of lead porsoning.Methods:A case with stomachache, anemia, myasthenia, and abnormal urine color was described. The diagnosis and treatment were analyzed and discussed.Results:A middle-aged female was admitted with a 9-month medical history, compalnied with rash, stomachache. She also had evidence of hemolytic anemia,nervous system and kidneys imvolvement, and Lab test showed a significantly elevated blood lead level. It was considered to be in line with multiple organ system damage caused by lead poisoning.Conclusion:Lead poisoning can mimic the clinical presentations of rheumatic diseases, resulting in multiple system ivolvement. When the patient's clinical manifestation cannot be fully explained, some special situations should be considered, such as toxic testing.
