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【病例】男,57岁。因周身皮肤瘙痒、脱屑1年,诊断为银屑病。半月前用金属汞（水银）50g配成膏剂擦涂患处,3日后突然高热、纳差、乏力、尿少（每日尿量 400～500ml）,遂来我院就诊。既往体健,否认有肾脏病史。查体:体温38.0℃,脉搏100/min,血压160/100mmHg。贫血貌,全身皮肤干燥脱屑,可见多处小溃疡,心、肺、腹未见异常,双侧肾区叩痛（±）,双下肢无水肿,神经反射正常。血白细胞8.9×109/L,红细胞3.2×1012/L,血红蛋白108g/L,尿蛋白（+）。血尿素氮28.64mmol/L,肌酐989.7μmol/L,血磷 2.89 mmol/L,二氧化碳结合力16.6 mmol/L,丙氨酸转氨酶59U/L,天冬氨酸转氨酶116U/L。尿钠112mmol/L,血β2微球蛋白（β2-MG）
[Case] Male, 57 years old. Due to the whole body itchy skin, scaling 1 year, diagnosed with psoriasis. Half a month ago with metal mercury (mercury) 50g dubbed the cream ointment affected area, 3 days after a sudden fever, anorexia, fatigue, oliguria (daily urine output 400 ~ 500ml), then came to our hospital. Past physical health, denied a history of kidney disease. Physical examination: body temperature 38.0 ℃, pulse 100 / min, blood pressure 160 / 100mmHg. Anemia appearance, the body dry and desquamation of the skin, showing many small ulcers, heart, lung, abdomen no exception, bilateral renal area percussion pain (±), no lower extremity edema, reflex normal. White blood cells 8.9 × 109 / L, red blood cells 3.2 × 1012 / L, hemoglobin 108g / L, urinary protein (+). Blood urea nitrogen 28.64mmol / L, creatinine 989.7μmol / L, phosphorus 2.89mmol / L, carbon dioxide binding 16.6mmol / L, alanine aminotransferase 59U / L, aspartate aminotransferase 116U / L. Urine sodium 112mmol / L, blood β2 microglobulin (β2-MG)