Myocarditis in hair dye poisoning.
A 16-year-old male presented to us after consuming hair dye with features of facial puffiness but normal respiratory parameters. His recorded ECGs revealed RBBB, supraventricular, ventricularextrasystoleandventricular tachycardia. Elevated CPK-MB and positive C-trophonin-Tconfirmed the myocardial damage. The patient died following cardiac arrest. This is a uncommon manifestation of para-phenylenediamine (PPD) poisoning. The aim of this report is to highlight the cardiac manifestation of PPD poisoning as this substance is used extensively and available freely.
Singh
Ajay Pal
AP
Olyai Hospital Campus, Hospital Road, Gwalior (MP), India. drajaypalsingh4@rediffmail.com
Jatav
O P
OP
Dudani
Manish
M
D000293:Adolescent; D052279:Creatine Kinase, MB Form / Q000187:drug effects / Q000378:metabolism; D017809:Fatal Outcome; D006202:Hair Dyes / Q000009:adverse effects* / Q000633:toxicity; D006323:Heart Arrest / Q000139:chemically induced / Q000209:etiology; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000139:chemically induced*; D010655:Phenylenediamines / Q000009:adverse effects* / Q000633:toxicity; D013405:Suicide; D020107:Troponin T
D006202:Hair Dyes; D010655:Phenylenediamines; D020107:Troponin T; D052279:Creatine Kinase, MB Form; C029728:4-phenylenediamine