Answer to the last #DiagnosticDilemma
Correct answer: D, Lead Poisoning

The gray lines on the gums are Burton’s line, which is a sign of chronic lead intoxication that develops when lead reacts with oral bacteria metabolites.

The patient had a 10-year history of chewing opium. Lead is sometimes added to opium to increase its weight when sold.

The patient was treated with chelating agents and counseled to stop chewing opium. At his 7 month follow-up, he had resolution of his symptoms, and Burton’s line had diminished.

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Dr. S●●●l H●●●●●n
Dr. S●●●l H●●●●●n Ophthalmology
Take vitamin b12 and use emoform toothpest 2 times per day ok
Nov 8, 2018Like