system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
The triad of "saturnine" gout, hypeension and renal insufficiency seen in poisoning with which of the following metals?
assistant
The correct answer is  Heavy metals like cadmium and lead can lead to chronic tubulointerstitial disease. It is usually not commonly diagnosed. This leads to proximal tubular damage and hyperuricemia due to diminished urate excretion. The above mentioned triad should prompt a clinician to ask specifically about lead exposure. Lead chelation therapy can slow the disease progression.