Sensirivatana R, Supachadhiwong O, Phancharoen S, Mitrakul C
Clin Pediatr (Phila). 1983 Aug;22(8):582-4. doi: 10.1177/000992288302200814.
A case of lead encephalopathy in a 2-month-old child is reported. Modes of poisoning are discussed and the unusual clinical manifestations of metallic brownish discoloration of nails and subdural effusion are presented. The possibility of lead poisoning as a cause of convulsions in neonates should be considered by doctors caring for these patients. Detailed history of lead exposure in prenatal and postnatal periods aids in early diagnosis and treatment which, thus, prevent severe neurological sequelae.
报告了一例2个月大儿童的铅中毒性脑病。文中讨论了中毒方式，并介绍了指甲金属棕色变色和硬膜下积液等不寻常的临床表现。照料这些患儿的医生应考虑铅中毒作为新生儿惊厥病因的可能性。详细了解产前和产后铅暴露史有助于早期诊断和治疗，从而预防严重的神经后遗症。
