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A case of DAPSONE INDUCED METHEMOGLOBINEMIA
Methemoglobinemia (MetHb) being a rare cause of cyanosis is generally not considered in its differential diagnosis. Methemoglobinemia is an abnormal Hb produced physiologically by auto-oxidation. If this process of auto oxidation is impaired either due to genetic defect or due to exogenous drugs/ to...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585036/ https://www.ncbi.nlm.nih.gov/pubmed/31249693 http://dx.doi.org/10.1186/s40545-019-0185-y |
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author | Mahmood, Najia Khan, Mutti Ullah Haq, Ihtisham U. L. Jelani, Farhat Afshan Tariq, Aayesha |
author_facet | Mahmood, Najia Khan, Mutti Ullah Haq, Ihtisham U. L. Jelani, Farhat Afshan Tariq, Aayesha |
author_sort | Mahmood, Najia |
collection | PubMed |
description | Methemoglobinemia (MetHb) being a rare cause of cyanosis is generally not considered in its differential diagnosis. Methemoglobinemia is an abnormal Hb produced physiologically by auto-oxidation. If this process of auto oxidation is impaired either due to genetic defect or due to exogenous drugs/ toxins, its level starts rising. Once it is > 3%, tissue hypoxia ensues. Here is a case of dapsone induced MetHb and is reported in a young girl with central cyanosis, and was treated successfully with methylene blue. Methemoglobinemia should be considered in differential diagnoses of cyanosed patient with normal ABGs, PaO(2) and cardio-respiratory status. If left untreated, the disease can be fatal. |
format | Online Article Text |
id | pubmed-6585036 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-65850362019-06-27 A case of DAPSONE INDUCED METHEMOGLOBINEMIA Mahmood, Najia Khan, Mutti Ullah Haq, Ihtisham U. L. Jelani, Farhat Afshan Tariq, Aayesha J Pharm Policy Pract Short Report Methemoglobinemia (MetHb) being a rare cause of cyanosis is generally not considered in its differential diagnosis. Methemoglobinemia is an abnormal Hb produced physiologically by auto-oxidation. If this process of auto oxidation is impaired either due to genetic defect or due to exogenous drugs/ toxins, its level starts rising. Once it is > 3%, tissue hypoxia ensues. Here is a case of dapsone induced MetHb and is reported in a young girl with central cyanosis, and was treated successfully with methylene blue. Methemoglobinemia should be considered in differential diagnoses of cyanosed patient with normal ABGs, PaO(2) and cardio-respiratory status. If left untreated, the disease can be fatal. BioMed Central 2019-06-20 /pmc/articles/PMC6585036/ /pubmed/31249693 http://dx.doi.org/10.1186/s40545-019-0185-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Short Report Mahmood, Najia Khan, Mutti Ullah Haq, Ihtisham U. L. Jelani, Farhat Afshan Tariq, Aayesha A case of DAPSONE INDUCED METHEMOGLOBINEMIA |
title | A case of DAPSONE INDUCED METHEMOGLOBINEMIA |
title_full | A case of DAPSONE INDUCED METHEMOGLOBINEMIA |
title_fullStr | A case of DAPSONE INDUCED METHEMOGLOBINEMIA |
title_full_unstemmed | A case of DAPSONE INDUCED METHEMOGLOBINEMIA |
title_short | A case of DAPSONE INDUCED METHEMOGLOBINEMIA |
title_sort | case of dapsone induced methemoglobinemia |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585036/ https://www.ncbi.nlm.nih.gov/pubmed/31249693 http://dx.doi.org/10.1186/s40545-019-0185-y |
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