Journal
BOSNIAN JOURNAL OF BASIC MEDICAL SCIENCES
Volume 21, Issue 3, Pages 261-269Publisher
ASSOC BASIC MEDICAL SCI FEDERATION BOSNIA & HERZEGOVINA SARAJEVO
DOI: 10.17305/bjbms.2020.4759
Keywords
Mercury; cosmetics; skin-lightening; skin-whitening; bleaching; nephrotic syndrome; neuropsychiatry; dementia
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Mercury, commonly used in skin lightening products, can lead to mercury poisoning. History of mercury exposure, physical examination, and relevant tests are crucial for diagnosis and treatment monitoring. Primary treatment involves discontinuation of skin lightening products, with chelation therapy recommended for symptomatic cases.
Mercury is a toxic substance that is commonly used in skin lightening products. Various effects on humans have been observed, which affect both users and non-users. Many studies reported delayed diagnosis and treatment, even after weeks of hospitalization. The possible reasons are non-specific clinical manifestation and lack of awareness and knowledge regarding chronic mercury intoxication secondary to skin lightening products. A thorough history of mercury exposure is crucial. Physical assessment and relevant supporting tests are indicated to establish a diagnosis. Blood and urine mercury levels are an essential examination for diagnosis and monitoring of the progress and response to treatment. The primary treatment is the discontinuation of the skin lightening products. Chelation therapy is not mandatory and is usually indicated for symptomatic patients. The prognosis depends on the duration of the product use, concentration of mercury in the skin product, and the severity of clinical presentation.
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