Which of the following heavy metal poisoning may cause colitis that resembles diptheritic colitis ?
**Core Concept**
Lead poisoning can cause a range of gastrointestinal symptoms, including colitis, due to its toxic effects on the intestinal mucosa. The clinical presentation of lead-induced colitis can be similar to diphtheritic colitis, characterized by inflammation and necrosis of the intestinal lining.
**Why the Correct Answer is Right**
Lead poisoning leads to the formation of lead sulfide in the intestinal mucosa, causing damage to the epithelial cells and inducing an inflammatory response. This results in symptoms similar to diphtheritic colitis, including abdominal pain, diarrhea, and potentially life-threatening complications. The pathophysiology involves the binding of lead to sulfhydryl groups in enzymes, disrupting cellular function and leading to tissue damage.
**Why Each Wrong Option is Incorrect**
**Option A:** Mercury poisoning primarily affects the nervous system and kidneys, with gastrointestinal symptoms being less common. While mercury can cause abdominal pain and diarrhea, it does not typically cause colitis resembling diphtheritic colitis.
**Option B:** Arsenic poisoning can cause a range of gastrointestinal symptoms, including abdominal pain and diarrhea, but it is more commonly associated with symptoms like nausea, vomiting, and skin lesions. Arsenic-induced colitis is not typically described as resembling diphtheritic colitis.
**Option C:** Cadmium poisoning primarily affects the kidneys and bones, with gastrointestinal symptoms being less common. While cadmium can cause abdominal pain and diarrhea, it does not typically cause colitis resembling diphtheritic colitis.
**Clinical Pearl / High-Yield Fact**
Lead poisoning can be challenging to diagnose, as it often presents with non-specific symptoms. A key diagnostic clue is the presence of lead lines on the gums, which can be seen in individuals with prolonged exposure to lead.
**Correct Answer:** C. Cadmium poisoning primarily affects the kidneys and bones, with gastrointestinal symptoms being less common. While cadmium can cause abdominal pain and diarrhea, it does not typically cause colitis resembling diphtheritic colitis.