Burton line
Burton Line[edit | edit source]
The Burton line is a clinical sign that is indicative of chronic lead poisoning. It is characterized by a bluish line that appears along the gingival margin, where the teeth meet the gums. This line is named after the British physician Henry Burton, who first described it in the 19th century.
Pathophysiology[edit | edit source]
The Burton line is caused by the deposition of lead sulfide in the gums. When lead is absorbed into the body, it can be deposited in various tissues, including the gingiva. The lead reacts with sulfur ions released by oral bacteria, forming lead sulfide, which appears as a blue-black line along the gums. This is more likely to occur in individuals with poor oral hygiene, as the presence of plaque and tartar can exacerbate the deposition of lead.
Clinical Significance[edit | edit source]
The presence of a Burton line is a significant clinical finding that suggests chronic exposure to lead. It is often seen in individuals who have been exposed to lead through occupational hazards, environmental contamination, or the use of lead-containing products. The Burton line is one of several signs and symptoms of lead poisoning, which can also include abdominal pain, neurological deficits, anemia, and renal dysfunction.
Diagnosis[edit | edit source]
The diagnosis of lead poisoning is typically confirmed through blood tests that measure the level of lead in the blood. The presence of a Burton line can prompt further investigation into potential sources of lead exposure and the assessment of other clinical signs of lead toxicity.
Treatment[edit | edit source]
Treatment of lead poisoning involves removing the source of lead exposure and administering chelation therapy to bind and remove lead from the body. Chelating agents such as EDTA (ethylenediaminetetraacetic acid) or DMSA (dimercaptosuccinic acid) are commonly used.
Prevention[edit | edit source]
Preventing lead poisoning involves reducing exposure to lead in the environment. This can include measures such as removing lead-based paints, ensuring safe drinking water, and following occupational safety guidelines to limit exposure in industrial settings.
Also see[edit | edit source]
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