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喀拉拉邦一家三级护理医院中因摄入治疗糖尿病的草药导致铅中毒的病例。

Case of lead poisoning secondary to intake of herbal medicine for diabetes mellitus in a tertiary care hospital in Kerala.

作者信息

Thomas Junith, Sebastian Rohini, Anil Kumar C R, Rafi Aboobacker Mohamed

机构信息

Department of Transfusion Medicine, Jubilee Mission Medical College, Thrissur, Kerala, India.

Department of Pathology, Jubilee Mission Medical College, Thrissur, Kerala, India.

出版信息

Endocrinol Diabetes Metab Case Rep. 2024 Jun 10;2024(2). doi: 10.1530/EDM-23-0066. Print 2024 Apr 1.

Abstract

SUMMARY

Although most published cases of lead poisoning come from occupational exposures, some traditional remedies may also contain toxic amounts of lead. Here, we report the case of a 58-year-old female who presented with abdominal pain, generalized tiredness, and decreased food intake, with anemia and elevated levels of lead. The patient was found to be taking herbal capsules for diabetes prior to the presentation. This case highlights the need for increased awareness that some herbal remedies may contain potentially harmful levels of heavy metals, and people who use them are at risk of developing associated toxicities.

LEARNING POINTS

Individuals who support traditional medicine often incorrectly believe that herbal remedies for diabetes are free from side effects, leading them to favor these treatments over contemporary medications. Herbal medications are freely available online, even without a prescription. The accessibility of herbal medicines without prescriptions, coupled with the false belief in their lack of side effects, misleads educated individuals toward quackery treatments. Misinformation spread via social media exacerbates this issue. Heavy metals are present in toxic levels in the drugs, causing complications. Lead is the most common heavy metal found in such herbal medicines. Lead poisoning leads to anemia and other systemic complications which could have been fatal if not found in time.

摘要

摘要

虽然大多数已发表的铅中毒病例来自职业暴露,但一些传统药物也可能含有有毒剂量的铅。在此,我们报告一例58岁女性病例,该患者出现腹痛、全身乏力和食欲减退,伴有贫血和铅水平升高。患者在出现症状前一直在服用治疗糖尿病的草药胶囊。该病例凸显了提高认识的必要性,即一些草药可能含有潜在有害水平的重金属,使用这些草药的人有发生相关毒性反应的风险。

学习要点

支持传统医学的人常常错误地认为治疗糖尿病的草药没有副作用,导致他们更倾向于这些疗法而非现代药物。草药在网上可随意获取,甚至无需处方。无需处方即可获取草药,再加上对其无副作用的错误认知,误导了受过教育的人接受庸医治疗。通过社交媒体传播的错误信息加剧了这一问题。药物中重金属含量达到有毒水平,会引发并发症。铅是此类草药中最常见的重金属。铅中毒会导致贫血和其他全身性并发症,若不及时发现可能会致命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7694/11227049/37dd2db6a66c/EDM23-0066fig1.jpg

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