Abstract
In 60 children with mental retardation of unknown etiology, the whole blood lead, as well as the activity of the red cell δ- aminolevulinic acid dehydratase (δ- ALAD), was measured. Thirty normal children and 30 with mental retardation of known etiology were used as controls. The lead values were found significantly higher in the study patients compared with both control groups (P < 0.001). The δ- ALAD activity in the 14 patients with blood lead levels ≥ 40 μg/d1, was significantly reduced compared with the normal controls (P < 0.001) and the mentally retarded controls (P < 0.01). In more than 20% of the patients with mental retardation of unknown etiology, indications of significant exposure to lead were found. There was no difference in blood lead values between children from cities and those from rural areas. The possible role of lead in the etiology of mental retardation is discussed.