The Journal of the Oklahoma State Medical Association
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J Okla State Med Assoc · Feb 1989
Case ReportsIncreased lead absorption and lead poisoning from a retained bullet.
A young man was found to have elevated blood lead and erythrocyte protoporphyrin levels seven years after he had been shot in the foot with a .22 caliber bullet. Although clearly evident in radiographs obtained at the time of the accident, the bullet had never been removed. Over the course of the intervening years the radiographic appearance of the projectile changed dramatically. ⋯ This case was reviewed in the context of the literature describing the disposition of retained lead projectiles. Lead bullets or fragments lodged within joints are slowly disintegrated and, as absorption accelerates, predispose the patient to the risk of lead poisoning which may occur many years after the original incident. Prompt removal of any lead projectile entering a joint space is strongly recommended.
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J Okla State Med Assoc · Jan 1989
IgG subclass deficiency in children with recurrent respiratory infections.
IgG subclass deficiency frequently occurs in children with recurrent otitis media and respiratory infections. IgG subclasses should be included in the diagnostic evaluation of all such children.