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“Dear Sir, In relation to our paper on plasma lead in poisoned subjects (Rentschler et al. 2011), professor Sanaei-Zadeh asks for additional information on three aspects: (1) laboratory see more status regarding kidneys, liver, and bone marrow (2) our definition of “severe poisoning”, and (3) treatment. Ad (1): All five cases had serum creatinine concentrations within the reference limits of our laboratory. Determination of blood urea nitrogen is not a clinical routine in our department. As regards serum transferases, case No. 3 had a slight, transient rise initially [aspartate aminotransferase: 0.88 (upper reference limit 0.60) μkat/L; alanine aminotransferase: 1.1 (0.75) μkat/L)], while all the others were “normal”. Cases No. 1, 3, and 5 had typical microcytic sideroblastic anemia in bone marrow biopsies.