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Tests and diagnosis

By Mayo Clinic staff

The Centers for Disease Control and Prevention (CDC) recommends that states test children for lead poisoning at ages 1 and 2. The CDC also recommends testing for children ages 3 to 6 if they:

  • Have never been tested before
  • Receive public assistance, such as Medicaid
  • Live in or frequently visit a home built before 1950 or a home built before 1978 that was recently remodeled
  • Have a friend or sibling who has had lead poisoning

Doctors usually use a simple blood test to detect lead poisoning. A small blood sample is taken from a finger prick or from a vein. Lead levels in the blood are measured in micrograms per deciliter (mcg/dL). An unsafe level is 10 mcg/dL or higher.

References
  1. Markowitz M. Lead poisoning. In: Kliegman RM. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Jan. 14, 2011.
  2. Hurwitz RL. Childhood lead poisoning: Clinical manifestations and diagnosis. http://www.uptodate.com/home/index.html. Accessed Jan. 14, 2011.
  3. McGuigan MA. Chronic poisoning: Trace metals and others. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Jan. 14, 2011.
  4. At-risk populations: Pregnant women. Centers for Disease Control and Prevention. http://www.cdc.gov/nceh/lead/tips/pregnant.htm. Accessed Jan. 14, 2011.
  5. Goldman RH, et al. Adult lead poisoning. http://www.uptodate.com/home/index.html. Accessed Jan. 14, 2011.
  6. Folk medicine. Centers for Disease Control and Prevention. http://www.cdc.gov/nceh/lead/tips/folkmedicine.htm. Accessed Jan. 17, 2011.
  7. Centers for Disease Control and Prevention, et al. Lead poisoning associated with use of litargirio: Rhode Island, 2003. MMWR. 2005:54;227. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5409a5.htm. Accessed Jan. 17, 2011.
  8. Lee DA, et al. Childhood lead poisoning: Exposure and prevention. http://www.uptodate.com/home/index.html. Accessed Jan. 17, 2011.
  9. Lead in paint, dust and soil. Environmental Protection Agency. http://www.epa.gov/opptintr/lead/pubs/leadinfo.htm. Accessed Jan. 18, 2011.
  10. International adoption and prevention of lead poisoning. Centers for Disease Control and Prevention. http://www.cdc.gov/nceh/lead/tips/adoption.htm. Accessed Jan. 18, 2011.
  11. Centers for Disease Control and Prevention, et al. Recommendations for blood lead screening of Medicaid-eligible children aged 1-5 years: An updated approach to targeting a group at high risk. MMWR. 2009;58:1. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5809a1.htm. Accessed Jan. 18, 2011.
FL00068 March 12, 2011

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