Acute renal failure following para-phenylenediamine (PPD) poisoning: a case report and review.
We report a case of systemic poisoning with para-phenylenediamine (PPD) presenting with characteristic features of severe angioneurotic edema, rhabdomyolysis and intravascular hemolysis with hemoglobinuria culminating in acute renal failure. Though rare in western countries, such poisoning is not uncommon in East Africa, Indian subcontinent and Middle East countries. We discuss here the clinical features and key management issues of systemic PPD poisoning.
Anuradha
S
S
Department of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India. dr_anu55@hotmail.com
Arora
Sandeep
S
Mehrotra
S
S
Arora
A
A
Kar
P
P
D058186:Acute Kidney Injury / Q000139:chemically induced*; D000328:Adult; D000799:Angioedema / Q000139:chemically induced; D004396:Coloring Agents / Q000506:poisoning*; D006202:Hair Dyes / Q000506:poisoning*; D006461:Hemolysis; D006801:Humans; D007194:India; D008297:Male; D010655:Phenylenediamines / Q000506:poisoning*; D012206:Rhabdomyolysis / Q000139:chemically induced; D013406:Suicide, Attempted
D004396:Coloring Agents; D006202:Hair Dyes; D010655:Phenylenediamines; C029728:4-phenylenediamine