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汞致膜性肾病和格林-巴利综合征:病例报告及文献复习。

Mercury as a cause of membranous nephropathy and Guillain-Barre syndrome: case report and literature review.

机构信息

PLA 983rd Hospital, Tianjin, China.

The People's Hospital of QianNan, Duyun, China.

出版信息

J Int Med Res. 2021 Mar;49(3):300060521999756. doi: 10.1177/0300060521999756.

Abstract

Secondary renal involvement in chronic exposure to metallic mercury is well known. Mercury also causes central nervous system damage and demyelinating polyneuropathy. Here, we describe a case of a patient with daily exposure to mercury in skin lightening cream and hair dyes who was diagnosed with Guillain-Barre syndrome and then developed nephrotic syndrome because of membranous neuropathy. By reviewing the literature describing mercury-associated diseases, we found that mercury components have an immunomodulatory activity, which is also involved in both peripheral neuropathy and glomerulonephritis.

摘要

慢性接触金属汞会导致肾脏继发性损害,这是众所周知的。汞还会导致中枢神经系统损伤和脱髓鞘性多发性神经病。在这里,我们描述了一个每天接触汞的病例,该患者接触的是皮肤美白霜和染发剂中的汞,被诊断为格林-巴利综合征,后来因膜性神经病发展为肾病综合征。通过回顾描述与汞相关疾病的文献,我们发现汞成分具有免疫调节活性,这也与周围神经病和肾小球肾炎有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c753/8168032/86112523b723/10.1177_0300060521999756-fig1.jpg

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