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

IF 0.7 Q4 ENDOCRINOLOGY & METABOLISM Endocrinology, Diabetes and Metabolism Case Reports Pub Date : 2024-06-10 Print Date: 2024-04-01 DOI:10.1530/EDM-23-0066
Junith Thomas, Rohini Sebastian, C R Anil Kumar, Aboobacker Mohamed Rafi
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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.

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喀拉拉邦一家三级医院中因服用草药治疗糖尿病而继发铅中毒的病例。
摘要:尽管已公布的铅中毒病例大多来自职业暴露,但一些传统疗法也可能含有有毒的铅。在此,我们报告了一例 58 岁女性的病例,患者出现腹痛、全身乏力、进食减少、贫血和铅含量升高。患者在发病前曾服用治疗糖尿病的草药胶囊。本病例强调,有必要提高人们对某些草药可能含有潜在有害重金属的认识,使用这些草药的人有可能出现相关毒性反应:学习要点:支持传统医学的人往往错误地认为,治疗糖尿病的草药疗法没有副作用,因此他们更青睐这些疗法,而不是现代药物。草药可在网上自由购买,甚至无需处方。没有处方也能买到草药,再加上错误地认为草药没有副作用,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。药物中的重金属达到有毒水平,会引起并发症。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并发症,如果发现不及时,可能会致命。
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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
142
审稿时长
9 weeks
期刊介绍: Endocrinology, Diabetes & Metabolism Case Reports publishes case reports on common and rare conditions in all areas of clinical endocrinology, diabetes and metabolism. Articles should include clear learning points which readers can use to inform medical education or clinical practice. The types of cases of interest to Endocrinology, Diabetes & Metabolism Case Reports include: -Insight into disease pathogenesis or mechanism of therapy - Novel diagnostic procedure - Novel treatment - Unique/unexpected symptoms or presentations of a disease - New disease or syndrome: presentations/diagnosis/management - Unusual effects of medical treatment - Error in diagnosis/pitfalls and caveats
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