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Chronic lead poisoning — DOccMed MCQ

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EasyOccupational DiseaseChronic lead poisoningDOccMed

A 55-year-old painter who has used lead-based paints throughout his career presents with abdominal colic, constipation, and a blue line on his gums. His blood lead level is 75 microg/dL. What is the most likely diagnosis?

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Correct answer: B — Chronic lead poisoning

The Burton line (blue-grey line on gums), abdominal colic, constipation, and elevated blood lead are classic features of chronic lead poisoning. At 75 microg/dL the worker must be suspended (above the 60 suspension level).

Reference: Control of Lead at Work Regs; HSE Lead Guidance