A child is brought with drowsiness, decreased deep tendon reflexes and seizures. On examination the child has a blue line on gums. There is history of constipation. Which will be most appropriate drug that should be used in this child ?

Correct answer: A. EDTA

  • A. EDTA
  • B. DMSA
  • C. BAL
  • D. Penicillamine

Explanation

The blue gingival line, constipation, reduced reflexes, drowsiness, and seizures indicate severe lead poisoning with encephalopathy. EDTA is used for significant lead toxicity; BAL may be added in severe encephalopathy, while DMSA is preferred for less severe cases.

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