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Article1 November 1963Clinical Manifestations and Therapy of Acute Lead Intoxication Due to the Ingestion of Illicitly Distilled AlcoholJAMES C. CRUTCHER, M.D.JAMES C. CRUTCHER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-59-5-707 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLead-contaminated whiskey produced in homemade stills with condensers fashioned from lead pipes and automobile radiators containing lead solder was the source of 32 episodes of lead intoxication in 27 adult male patients.* The purpose of this report is to describe the severe clinical manifestations, including encephalopathy, and the effective mobilization of large amounts of lead with the therapeutic use of calcium disodium ethylenediamine tetraacetic acid (Ca EDTA).METHODSAll of the patients were males hospitalized at the Veterans Administration Hospital, Atlanta, Georgia. All patients were seen in the Admission Clinic and were considered sufficiently ill to warrant immediate hospitalization, except...References1. ESKEWCRUTCHERZIMMERMANJOHNSTONBUTZ AAJCSLGWWC: Lead poisoning resulting from illicit alcohol consumption. J. Forensic Sci. 6: 337, 1961. MedlineGoogle Scholar2. Personal communication. The Atlanta Regional Office, Alcohol and Tobacco Tax, Internal Revenue Service. Google Scholar3. CHOLAKHUBBARDBURKEY JDMRE: The determination of lead in freshly voided urine. A rapid screening test. J. Indust. Hyg. 30: 59, 1948. MedlineGoogle Scholar4. WADEBURNUM JFJF: Treatment of acute and chronic poisoning with disodium calcium versenate. Ann. Intern. Med. 42: 251, 1955. LinkGoogle Scholar5. WHITEHEADPRIOR TPAP: Lead poisoning from home-made wine. Lancet 2: 1343, 1961. Google Scholar6. BERITICSTAHULJAX TD: Lead poisoning from lead-glazed pottery. Lancet 1: 669, 1961. CrossrefGoogle Scholar7. LANELAWRENCE CRA: Homemade wine as a cause of lead poisoning: report of a case. Brit. Med. J. 2: 929, 1961. CrossrefMedlineGoogle Scholar8. 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BOYETTBUTTERWORTH JDCE: Lead poisoning and hemoglobin synthesis: report of a study of fifteen patients with chronic lead intoxication. Amer. J. Med. 32: 884, 1962. CrossrefMedlineGoogle Scholar16. MCFADZEANDAVIS AJLJ: On the nature and significance of stippling in lead poisoning with reference to the effect of splenectomy. Quart. J. Med. 18: 57, 1949. MedlineGoogle Scholar17. SUTHERLANDEISENTRAUT DAAM: The direct Coombs' Test in lead poisoning. Blood 11: 1024, 1956. CrossrefMedlineGoogle Scholar18. BASHOUR FA: Urinary uroporphyrin, porphobilinogen, and coproporphyrin excretion in lead-exposed workers. J. Lab. Clin. Med. 44: 764, 1954. Google Scholar19. BLACKMAN SS: Intranuclear inclusion bodies in the kidney and liver caused by lead poisoning. Bull. Hopkins Hosp. 58: 384, 1936. Google Scholar20. LANDINGNAKAI BHH: Histochemical properties of renal lead-inclusions and their demonstration in urinary sediment. Amer. J. Clin. Path. 31: 499, 1959. CrossrefMedlineGoogle Scholar21. KEHOE RA: Value of calcium disodium ethylenediamine-tetra-acetate and British antilewisite in therapy of lead poisoning. Fed. Proc. 20 (3), Part 2: 196, 1961. MedlineGoogle Scholar22. REUBERBRADLEY MDJE: Acute versenate nephrosis: occurring as the result of treatment for lead intoxication. JAMA 174: 263, 1960. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Atlanta, GeorgiaFrom the Medical Service, Veterans Administration Hospital and the Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.Requests for reprints should be addressed to James C. Crutcher, M.D., Medical Service, Veterans Administration Hospital, 4158 Peachtree Rd., N.E., Atlanta 19, Georgia.*Four of these patients, J. J., C. L., J. W., and H. N. were reported previously (1). 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