Lead poisoning is well documented in persons occupationally exposed to lead. What is less known is, that even in persons working in lead based
CASE REPORTA 30-year old male working in a lead acid battery factory for over 6 years came to our laboratory, at the National Referral Centre for lead poisoning in India, Bangalore, wanting to check out his blood lead levels after his friend, who had abdominal pain and weakness of the right arm was detected to have high blood lead levels. He was totally asymptomatic. On examination, he was found to be a middle aged male, well built and well nourished. There was no pallor, icterus or cyanosis. His pulse, blood pressure and other vital signs were normal. Systemic examination including that of the central nervous system did not reveal any abnormality.Blood investigations were done and the findings were as follows (Values in parenthesis indicate normal range) : Haemoglobin = 14.3gms/dl (13-18gms/dl), Total count = 9900 (4000-11000), Differential count -Neutrophils = 49% (40-75%), Lymphocytes = 37% (20-45%), Eosinophils = 11%(1-6%), Myelocytes =2%(<1%), Metamyelocytes =1%(<1%), Platelets = 2.25 lacs/ml (1.5-4.1 lacs/ml) and Blood lead = 82.8Pg/dl (<10Pg/dl)