Lipstick obsession and red urine

A 28-year-old woman presented to the nephrology clinic with a 5-day history of passage of red-colored urine (Figure  1a) without dysuria flank pain, rigors, or chills. She denied any history of recent exposure to medications, beet intake, or coloring agents in food. On examination, the only noticeable feature was her bright-red lipstick (Figure 1b). Her blood count, serum creatinine, liver function, and urine t ests were normal. Her urine culture was sterile. On further questioning, she revealed that she would apply her lipstick 20 to 25 times a day and was finding it hard to overcome this obsession.

Source: Kidney International - June 20, 2018 Category: Urology & Nephrology Authors: Tajamul H. Mir, Maina Nisar Tags: Nephrology Image Source Type: research