• Ann Emerg Med · Jun 1986

    Case Reports

    Lead toxicity masquerading as sickle cell crisis.

    • M S Nelson and J J Chisolm.
    • Ann Emerg Med. 1986 Jun 1; 15 (6): 748-50.

    AbstractWe recently saw a 12-year-old black boy with known sickle cell disease who had been seen many times for abdominal pain thought to be secondary to a vasoocclusive crisis. The patient eventually was admitted, after a seizure and the onset of obtundation. The etiology of his acute encephalopathy remained unclear until bone films of his knees fortuitously revealed "lead lines." The patient was treated and did well subsequently. This case emphasizes the importance of considering other diagnoses when a sickle cell patient presents with a crisis.

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