<prompt> Saturnine Gout is due to:Chronic Arsenic PosinoningChronic Lead PoisoningChronic Mercury poisoningChronic Iron Poisoning  <response>: Saturnine Gout is due to Chronic Lead Poisoning. Saturnine gout Lead Pg decreases renal excretion of uric acid - increase Uric acid in blood hyperuricemia -Gout Chronic Poisoning Plumbism, Saturnism or saturnine poisoning Manifestation of Chronic Lead Poisoning or Plumbism are often remembered with the classical mnemonic. New ABCDEGFGHI New Neuropathy leading to weakness Lead palsy; wrist dropfoot drop Nephropathy leading to Renal failure A Anemia with punctuate basophilia basophilic stippling Early feature AnorexiaAhralgiaAboionAtrophy of optic nerve B Buonian or blue stippled lead line on gums Buonian line is a stippled blue line seen in 50-70 of cases of chronic lead poisoning or plumbism Basophilic stippling C Colic abdominal pain constipation Dry belly ache; Diarrhea is very rare Coproporphyrin excess in urine Cerebral edema D Drop wrist drop; foot drop lead palsy due to neuropathy Dry belly ache Colic abdominal pain constipation Dyspepsia E Encephalopathy Lead Encephalopathy; usually seen in children; uncommon in adults Emaciation Eosionophilia F Facial pallor Facial pallor is the earliest symptomsign of Lead poisoning Foul smell of breath Failure renal failure Fanconi;s syndrome G Gout Santurnine Gout: Lead decreases urinary excretion of uric acid causing hyperuricemia and gout Gonadal dysfunction H HypeensionHeadacheHallucinationHyperesthesia I ImpotenceInfeilityInsomniaIrritability Ref: APC Essentials of Forensic medicine By Anil Aggarwal 