ABSTRACT
A 21-year-old man presented to genitourinary (GU) medicine physicians with (initially) painful penile and scrotal swelling. A diagnosis of ano-genital granulomatosis was confirmed on histological analysis of penile skin. Enquiring about systemic symptoms resulted in the additional diagnosis of gastrointestinal Crohn's disease. The patient is now receiving immunosuppressive therapy to treat both conditions.
Subject(s)
Crohn Disease/diagnosis , Lymphedema/diagnosis , Lymphedema/etiology , Penile Diseases/diagnosis , Anal Canal/pathology , Diagnosis, Differential , Humans , Male , Penile Diseases/etiology , Penis/pathology , Young AdultABSTRACT
Shipboard chipping and grinding paint-removal operations were evaluated to determine personnel exposures to airborne lead concentrations. Lead concentrations found in the bulk lead-paint samples ranged from 0.0037 to 11.5% by weight. Of the personnel conducting paint removal operations, 62% were exposed at or above the Occupational Safety and Health Administration (OSHA) Permissible Exposure Limit for lead of 50 micrograms/m3. Correlations of airborne lead concentrations and bulk lead-paint contents for chipping and grinding operations were statistically significant. Blood lead (Pb) levels were significantly higher in the follow-up blood tests when compared to the initial blood tests taken prior to paint removal. However, blood Pb levels were well below the OSHA allowable level of 40 micrograms/100 g.
