Hematin administration to an adult with lead intoxication
JM Lamon, BC Frykholm and DP Tschudy
Lead poisoning and acute intermittent porphyria (AIP) may exhibit similar
neurologic manifestations, and they have in common elevated excretion of
urinary aminolevulinic acid (ALA). Despite their similarities, the possible
pathophysiologic connection between AIP and lead poisoning in not known.
Because intravenous hematin administration has produced biochemical
improvement in AIP, a hematin trial in lead intoxication was of interest
with respect to some of the heme metabolism abnormalities observed in the
condition. Significant diminution of urinary ALA and coproporphyrin
excretion occurred in association with intravenous hematin administration.
Volume 53,
Issue 5,
pp. 1007-1011,
05/01/1979
Copyright © 1979 by The American Society of Hematology