1. Lead nephropathy due to Sindoor in India.
- Author
-
Kute, Vivek B., shrimali, Jigar D., Balwani, Manish R., Godhani, Umesh R., Vanikar, Aruna V., Shah, Pankaj R., Gumber, Manoj R., Patel, Himanshu V., and Trivedi, Hargovind L.
- Subjects
- *
KIDNEY disease treatments , *STEROID drugs , *HEMODIALYSIS , *KIDNEY disease diagnosis , *RENAL biopsy , *GLOMERULONEPHRITIS , *PHYSICIANS - Abstract
We report a case of lead nephropathy due to Sindoor treated successfully with steroid, hemodialysis and chelating agent. Diagnosis of lead nephropathy was confirmed by identification of potential sources of lead exposure (Sindoor, 5-10 gm per year for 11 years) indicated by high blood lead level, 95 µg/dL and presence of extrarenal features of lead poisoning (hypertension, anemia, lead line, hyperuricemia). A search for the underlying systemic causes of renal failure yielded no results. A kidney biopsy showed acute or chronic tubule-interstitial nephritis with mesangioproliferative glomerulonephritis with no immune deposit on immunofluorescence consistent with lead nephropathy. He was discharged in good health after psychiatric consultation and continued with oral D-Penicillamine with normal renal function tests and urine output. This case identifies Sindoor as a potential lead exposure among Indians and clinicians should be aware of this risk factor and enquire about it when searching a source of lead exposure in high-risk population. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF