Lead poisoning in childhood.

CHILDHOOD plumbism has features that distinguish it from the adult disorder in aetiology, presentation and prognosis. The prevalence of the condition has yet to be determined since, although not uncommon in urban paediatric units, it is likely that only severe cases are recognized. Since the sequelae include death and cerebral damage, it is important that children exposed to lead be identified and those with evidence of poisoning treated. The rational management of the condition depends upon an understanding of the metabolism and toxicology of lead in children together with a knowledge of predisposing factors.