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Erythrocyte delta-aminolevulinic acid dehydratase activity as a measure of lead exposure

Journal Article · · J. Lab. Clin. Med.; (United States)
OSTI ID:5224882
The measurement of erythrocyte delta-aminolevulinic acid dehydratase (ALA-D) activity has been found to be a useful guide to lead exposure for screening purposes. The pH of the test should be well-controlled for adequate clinical interpretation. False-normal tests are rare even with iron-deficiency anemia or macrocytosis. Recent transfusion and recent bleeding or hemolysis with reticulocytosis tend to invalidate the test. ALA-D activity above 600 International Units effectively excludes significant lead exposure and eliminates the need for further testing. ALA-D activity is maximally depressed at a red cell lead concentration of 200 ..mu..g per 100 ml. When activity is moderately depressed, interpretation is difficult and the urinary excretion of lead after the administration of a chelating agent is usually required to differentiate the degree and significance of lead exposure. 41 references.
Research Organization:
Univ. of Alabama School of Medicine, Birmingham
OSTI ID:
5224882
Journal Information:
J. Lab. Clin. Med.; (United States), Journal Name: J. Lab. Clin. Med.; (United States) Vol. 85:5; ISSN JLCMA
Country of Publication:
United States
Language:
English