Successful Treatment of a Child with Toxic Methemoglobinemia due to Nail Polish Remover Poisoning

Authors

  • Soumya Patra Lady Hardinge Medical College and Kalawati Saran Children?s Hospital, New Delhi
  • Gurleen Sikka
  • Debarshi Bose Lady Hardinge Medical College and Kalawati Saran Children?s Hospital, New Delhi
  • Neha Panwar Lady Hardinge Medical College and Kalawati Saran Children?s Hospital, New Delhi
  • Ajoy Kumar Khaowas N.R.S Medical College, Kolkata
  • Debanjali Sarkar MGM Medical College & L.S.K Hospital, Kishanganj

DOI:

https://doi.org/10.3329/bjch.v36i1.13040

Keywords:

Children, Methemoglobinemia, Methylene blue, Nail polish remover

Abstract

Children are most susceptible to accidental exposure of common household substances and one of the common household substances is nail polish remover. The chemical N,N-dimethyl-p-toluidine is a chemical commonly found in artificial fingernail solutions. Its oxidation metabolite phenylhydroxylamine is presumably one of the most potent chemical producers of methemoglobin. Fingernail care products account for a significant number of pediatric poisonings in the western world with few fatalities. We are presenting a case of accidental ingestion of nail polish remover with lethal Methemoglobinemia (Serum methemoglobin level-72%). This patient was treated successfully with injection methylene blue. However, even small amounts can be dangerous to children, so it is important to keep this and all household chemicals in a safe place.

DOI: http://dx.doi.org/10.3329/bjch.v36i1.13040

Bangladesh J Child Health 2012; Vol 36 (1): 49-50

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Author Biographies

Soumya Patra, Lady Hardinge Medical College and Kalawati Saran Children?s Hospital, New Delhi

Departments of Pediatric

Gurleen Sikka

Departments of Pediatric

Debarshi Bose, Lady Hardinge Medical College and Kalawati Saran Children?s Hospital, New Delhi

Departments of Pediatric

Neha Panwar, Lady Hardinge Medical College and Kalawati Saran Children?s Hospital, New Delhi

Departments of Pediatric

Ajoy Kumar Khaowas, N.R.S Medical College, Kolkata

Department of Otolaryngology

Debanjali Sarkar, MGM Medical College & L.S.K Hospital, Kishanganj

Department of Obstetrics & Gynaecology

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Published

2012-12-20

How to Cite

Patra, S., Sikka, G., Bose, D., Panwar, N., Khaowas, A. K., & Sarkar, D. (2012). Successful Treatment of a Child with Toxic Methemoglobinemia due to Nail Polish Remover Poisoning. Bangladesh Journal of Child Health, 36(1), 49–50. https://doi.org/10.3329/bjch.v36i1.13040

Issue

Section

Case Reports