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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1995-3-28
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pubmed:abstractText |
The clinical picture of lead neuropathy was classically described as a painless progressive motor neuropathy with axonal loss. The literature review fails to demonstrate a consensus on the site of axonal loss. This is an EMG report of a patient who developed a late lead neuropathy after a shotgun injury. A 69-year-old Filipino, healthy, male nondrinker sustained a shotgun injury to his left elbow. Nineteen years later he developed abdominal pain, followed by generalized weakness, distal greater than proximal in the extremities, and impaired pin-prick, proprioception, and two-point discrimination. He became nonambulatory and totally dependent in daily activities. He was lost to follow-up for 2 years until January 1993 when he presented with a blood lead level of 84 micrograms/dL. EMG examination revealed a sensorimotor peripheral polyneuropathy with severe axonal loss. This case demonstrates that axonal loss is the predominant feature in lead neuropathy and the location of pathology is in the peripheral nerves.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0148-639X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
326-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7870111-Action Potentials,
pubmed-meshheading:7870111-Aged,
pubmed-meshheading:7870111-Electromyography,
pubmed-meshheading:7870111-Humans,
pubmed-meshheading:7870111-Lead Poisoning,
pubmed-meshheading:7870111-Male,
pubmed-meshheading:7870111-Neural Conduction,
pubmed-meshheading:7870111-Peripheral Nervous System Diseases,
pubmed-meshheading:7870111-Time Factors,
pubmed-meshheading:7870111-Wounds, Gunshot
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pubmed:year |
1995
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pubmed:articleTitle |
An EMG case report of lead neuropathy 19 years after a shotgun injury.
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pubmed:affiliation |
Department of Functional Restoration, Stanford University, California.
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pubmed:publicationType |
Journal Article,
Case Reports
|