title: Minimal change disease following exposure to mercury-containing skin lightening cream.
abstract: A 34-year-old woman developed nephrotic syndrome after using a skin lightening cream that contained an extremely high level of mercury. Blood and urine mercury levels were elevated and a renal biopsy revealed minimal change disease. Membranous nephropathy was excluded using immunofluorescence and electron microscopy. Her proteinuria remitted 9 months after she stopped using the cosmetic cream. This is the first reported case in the English literature of proven minimal change disease secondary to mercury exposure. It is important that mercury poisoning due to cosmetic cream is considered in the differential diagnoses for any woman who presents with nephrotic syndrome.
authors.affiliation: Division of Nephrology, Department of Medicine and Geriatrics, Princess Margaret Hospital, Laichikok, Hong Kong. tanghl@ha.org.hk
authors.forename: H L
authors.initials: HL
authors.lastname: Tang
authors.forename: K H
authors.initials: KH
authors.lastname: Chu
authors.forename: Y F
authors.initials: YF
authors.lastname: Mak
authors.forename: W
authors.initials: W
authors.lastname: Lee
authors.forename: A
authors.initials: A
authors.lastname: Cheuk
authors.forename: K F
authors.initials: KF
authors.lastname: Yim
authors.forename: K S
authors.initials: KS
authors.lastname: Fung
authors.forename: H Wh
authors.initials: HW
authors.lastname: Chan
authors.forename: K L
authors.initials: KL
authors.lastname: Tong
mesh_terms: D000328:Adult; D003358:Cosmetics / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008628:Mercury / Q000633:toxicity*; D009402:Nephrosis, Lipoid / Q000139:chemically induced*; D009824:Ointments; D012880:Skin Pigmentation / Q000187:drug effects*
chemical_list: D003358:Cosmetics; D009824:Ointments; D008628:Mercury