title: Rebound severe methemoglobinemia from ingestion of a nitroethane artificial-fingernail remover.
abstract: We describe life-threatening methemoglobinemia in a child who ingested a nitroethane artificial-fingernail remover initially mistaken to be an acetone-based polish remover. Nitroethane-induced methemoglobinemia may be delayed and recurrent; patients ingesting this substance may warrant close observation for at least 24 hours. Care givers are cautioned to determine the precise substance involved in ingestions of potentially toxic fingernail products.
authors.affiliation: Department of Pediatrics, University of Pennsylvania School of Medicine, Children's Hospital of Philadelphia 19104, USA.
authors.forename: K C
authors.initials: KC
authors.lastname: Osterhoudt
authors.forename: C C
authors.initials: CC
authors.lastname: Wiley
authors.forename: R
authors.initials: R
authors.lastname: Dudley
authors.forename: S
authors.initials: S
authors.lastname: Sheen
authors.forename: F M
authors.initials: FM
authors.lastname: Henretig
mesh_terms: D003358:Cosmetics / Q000506:poisoning*; D004980:Ethane / Q000031:analogs & derivatives* / Q000506:poisoning; D005260:Female; D006801:Humans; D007223:Infant; D008708:Methemoglobinemia / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D009595:Nitroparaffins / Q000506:poisoning*; D012720:Severity of Illness Index
chemical_list: D003358:Cosmetics; D009595:Nitroparaffins; C014705:nitroethane; D004980:Ethane