Description

A 35-year-old woman presented with anasarca and lower limb paraesthesias for 3 months. There was history of daily oral intake of 10–15 g of some indigenous preparation for low backache during the 2 months prior to current symptoms. On physical examination, respiratory rate was 18 breaths/min and oxygen saturation on room air was 95%. Serum creatinine was 1.4 mg/dL. Urine examination showed nephrotic proteinuria and chest radiograph demonstrated numerous small radiopaque densities (figure 1). High-resolution CT showed multiple metallic spherules …