Dyall-Smith D J, Scurry J P
Monash Medical Centre, Clayton, VIC.
Med J Aust. 1990 Oct 1;153(7):409-10, 414-5. doi: 10.5694/j.1326-5377.1990.tb125501.x.
A 42-year-old woman presented with facial mercury pigmentation, raised levels of mercury in the blood and urine and possible neuropsychiatric toxicity after the topical application of 17.5% mercuric ammonium chloride. The patient purchased a mercury-containing cream without prescription from Victorian pharmacies for many years to lighten her complexion. She was unaware of any health risk. No warning appears on the package or insert of the cream she used. Health workers, particularly pharmacists and medical practitioners, should be aware that over-the-counter mercury-containing creams may raise the concentrations of mercury in the blood and urine to potentially toxic levels. A warning on the package should be considered and use of the cream restricted.
一名42岁女性在局部涂抹17.5%氯化汞铵后，出现面部汞色素沉着、血液和尿液中汞含量升高以及可能的神经精神毒性。该患者多年来在没有处方的情况下从维多利亚州的药店购买含汞面霜以美白肤色。她未意识到任何健康风险。她所使用面霜的包装或说明书上未出现任何警告。卫生工作者，尤其是药剂师和医生，应意识到非处方含汞面霜可能会使血液和尿液中的汞浓度升高至潜在毒性水平。应考虑在包装上设置警告并限制该面霜的使用。
