Renal Cortical Necrosis Following Exposure to Sap of the Marking-Nut Tree (Semecarpus Anacardium)

T. Pathros MatthaiCaritas Hospital, Thellakom, Kottayam, and Christian Medical College Hospital, Vellore, India

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Anand DateCaritas Hospital, Thellakom, Kottayam, and Christian Medical College Hospital, Vellore, India

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An 18-year-old man developed skin lesions and anuria following exposure to sap of the marking-nut tree (Semecarpus anacardium). Renal biopsy showed diffuse cortical necrosis. The mechanism of nephrotoxicity of the sap is unknown but may be due to its phenolic constituents.

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