Abstract
Three members of a family were found be suffering from lead poisoning of nonindustrial origin, the causative agent being the home-produced wine left to ferment in a glazed earthenware vat. The clinical and neurophysiological features are discussed in the light of similar cases in the literature. Correct diagnosis and early treatment of nonindustrial lead polyneuropathy are often extremely difficult because of the elusive nature of the exposure.
Sommario
Tre componenti di una famiglia hanno sofferto di una intossicazione da piombo di origine industriale da vino prodotto in casa e lasciato fermentare in recipienti di terracotta smaltata. Le caratteristiche cliniche ed elettrofisiologiche dei casi vengono descritti in rapporto con casi analoghi citati dalla letteratura. La diagnosi corretta e il precoce trattamento di queste polineuropatie da piombo non industriale risultano spesso difficili per la natura occasionale dell' azione tossica.
Similar content being viewed by others
References
Bacon A.B.C., Froome K., Gent A., Cooke T., Sowerby P.:Lead poisoning from drinking soft water. Lancet 1: 262–266, 1967.
Beattie A.D., Dagg J.H., Goldberg A., Wang J., Ronald J.:Lead poisoning in rural Scotland. Brit. Med. J. 2: 488–491, 1972.
Boothby J.A., Rowland L.P., De Jesus P.V.:Reversible form of motor neuron disease. Lead Neuritis. Arch. Neurol. 31: 18–23, 1974.
Campbell A.M.G.:Calcium versenate in motor neuron disease. Lancet 2: 376–377, 1955.
Campbell A.M.G., Williams E.R., Barltrop D.:Motor neuron disease and exposure to lead. J. Neurol. Neurosurg. Psychiatry 33: 877–885, 1970.
Crawford M.D., Morris J.N.:Lead in drinking water. Lancet 2: 1076–1078, 1967.
Currier R. D., Haerer A.F.:Amyotrophic lateral sclerosis and metallic toxins. Arch. Environ. Health 17: 712–719, 1968.
Delwaide P.J., Chantraine A.:Partecipation spinale dans l'intoxication saturnine: Arguments electromyographiques in Procedings of the sixt. International Congress of EEG and Clinical Neurophysiology. American Elsevier Publishing Co. 643–646, 1965.
Dickinson L., Reichert E.L., Ho R.C.S., Rivers J.B., Kominami N.:Lead poisoning in a family due to cocktail glasses. Am. J. Med. 52: 391–394, 1972.
Feldman R.G., Chilsom J.J., Haddow J.:Lead neuropathy in childhood: motor conduction velocity. Neurology 21: 446–447, 1971.
Goldberg A.:Drinking water as source of lead pollution. Environm. Health Perspect. 7: 103–112, 1974.
Goodwing T.C.:Lead poisoning: report of a case in a child with extensive peripheral neuritis. Bull. Johns Hopkins Hops. 55: 347–356, 1934.
Harris R.W., Elsea W.R.:Ceramic glaze as a source of lead poisoning. J.A.M.A. 202: 544–546, 1967.
Harvey S.C.:Heavy metals. In Goodman L.S. Gilman. A. (eds):The pharmacological basis of therapeutics IV éd. 938–944, 1976.
Hem J.D., Durun W.H.:Solubility and occurrence of lead in surface water: J. Am. water workers Assoc. 65: 562–568, 1973.
Herter C.A.:Report of a case of lead paralysis with special reference to cytological changes in the nervous system and the distribution of lead. N.Y. Med. J. 61: 665–668, 1895.
Heusgem G., De Grave J.:Importance de l'apport alimentaire en plomb dans l'est de la Belgique. Proc. International Symposium on the Environmental Health Aspects of Lead. Amsterdam p. 85–92. 1972.
Hughes E.D.:The moonshine menace; lead salts poisoning. J. Sth. California Med. Ass. 62: 347–355, 1966.
Klein M., Namer R., Harpur E., Corbin R.:Earthenware containers as a source of fatal lead poisoning. New Engl. J. Med. 283: 669–672, 1970.
Kurlander H.M., Pattern B.M.:Metals in spinal cord tissue of patients dying of motor neuron disease. Ann. Neuronol. 6: 21–24, 1979.
Lamm S., Cole B., Glynn K., Ulman W.:Lead content of milks fed to infants 1971–1972. New England J. Med. 289: 574–575, 1973.
Laslett E.E., Warrington W.B.:The morbid anatomy of a case of lead paralysis. Condition of the nerves, muscles, muscle spindles and spinal cord. Brain 21: 224–231, 1898.
Livesly B., Sissons C.E.:Chronic lead intoxication mimicking motor neuronal disease. Br. Med. J. 4: 387–388, 1968.
Mitchell D.G., Aldous K.M.:Lead content of foodstuffs. Environm. Hlth. perspect. 7: 59–62, 1974.
Morgan J.M., Hartley M.W., Miller R.E.:Neuropathy in chronic lead poisoning. Arch. Intern. Med. 118: 17–29, 1966.
Palmisano P.A., Sneed R.C., Cassady G.:Untaxed whiskey and fatal lead exposure. J. Pediat. 75: 869–872, 1969.
Philippe etGohard:Contribution a l'étude de l'origine centrale de la paralysie saturnine. Rev. Neurol. 2: 117–118, 1903.
Reed C.D., Tolley J.A.:Lead in drinking water. Lancet 1: 894, 1967.
Simpson J.A., Seaton D.A., Adams J.F.:Response to treatment with chelating agents of anemia, chronic encephalopathy and myelopathy due to lead poisoning. J. Neurol. Neurosurg. Psychiatry 27: 536–541, 1964.
Steinbock R.T.:Lead ingestion in history. New Engl. J. Med. 301: 277–280, 1979.
Tavolato B., Licandro A.C., Argentiero V.:Lead polyneuropathy of non industrial origin. Eur. Neurol. 19: 273–276, 1980.
Tolan B., Elton G.A.H.:Lead intake from food. Proceedings. International Symposium on the environnmental Health Aspects of Lead. Amsterdam p. 77–84, 1972.
Tomasini M., Chiappino G.:Problemi medico legali e proposito di saturnismo da ingestione di acquavite distillata clandestinamente. Med. Lavoro 64: 268–271, 1973.
Whitehead T.P., Prior A.P.:Lead poisoning from homemade wine. Lancet 2: 1343–1344, 1960.
Whitfield C.L., Ch'Ien L.T., Whitehead J.D.:Lead encephalopathy in adults. Amer. J. Med. 52: 289–298, 1972.
Wilson A.T.:Lead absorption and the health of a community. Practitioner 197: 77–84, 1966.
Wilson A.T.:Lead in drinking-water. Lancet 1: 956–957, 1967.
Wilson S.A.K.:The amyotrophy of chronic lead poisoning. Amyotrophic lateral sclerosis of toxic origin. Rev. Neurol. Psychiatr. 5: 441–445, 1907.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Loi, F., Battista, G., Malentacchi, G.M. et al. Familial lead poisoning from contaminated wine. Ital J Neuro Sci 2, 283–290 (1981). https://doi.org/10.1007/BF02335409
Issue Date:
DOI: https://doi.org/10.1007/BF02335409