Clinical therapy of membranous nephropathy associated with mercury poisoning and literature review
LUO Ting
WEI Ri-bao
JIA Nan
WANG Yuan-da
CAO Yong
MA Chong
XU Qiu-na
Abstract：Objective: To describe the clinical course and management of membranous nephropathy associated with mercury poisoning. Methods: The clinical manifestation and renal pathological characteristic of membranous nephropathy associated with mercury poisoning were reviewed, while the therapy of a similar patient in our hospital was analyzed. Results:There were total 52 cases with 14 males and 38 females of membranous nephropathy associated with mercury poisoning. The age of these patients was between iffteen and iffty-three. The patients used mercury content for 3 weeks-6 years. A total of 37 patients underwent renal biopsy. About 33 cases were diagnosed as membranous nephropathy, they were given mercury displacement treatment and symptomatic support without immunodepressant, among which 11 patients were simultaneously treated with hormone. Most patients improved after 3-4 courses of treatment and completely improved within 7 months. One 36-year-old male patient used mercury traditional Chinese medicine pills for 80 days. Renal pathology showed membranous nephropathyⅠstage. The patient didn't use the hormone and immunodepressant. The patient recovered well with the mercury displacement treatment. Conclusion:We should improve the realization of membranous nephropathy associated with mercury poisoning and give mercury displacement treatment in time.
Keywords：Mercury poisoningNephritic syndromeMembranous nephropathyMercury displacement treatment
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 355-358 )