Dr. Bartens (“Zeitschrift,” xxxvii. Band, 1 Heft) observes that poisoning with lead is not so common as poisoning with alcohol, simply because lead is not so often introduced into the system, as it rarely affects any one who does not have occasion to work with that metal. From a wide survey of French and German literature, he has collected a few descriptions of lead poisoning where the nervous system was affected, and he has carefully studied nine cases which he met with in the asylums of Liegburg and Duren. Three of these were painters; one was employed at a factory for making white lead; the others worked at the lead mines. In most instances the insanity either preceded or closely followed an attack of lead colic, though occasionally there were none of the ordinary symptoms of lead poisoning. The insanity may take an acute or a chronic course. Generally the patients have suffered from derangements of digestion, such as want of appetite, foul breath, and constipation, more rarely diarrhoea.
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