title: Acute renal failure and intravascular hemolysis following henna ingestion.
abstract: The powder of henna plant (Lawsonia inermis Linn.) is extensively used as a decorative skin paint for nail coloring and as a hair dye. Most reports of henna toxicity have been attributed to adding a synthetic dye para-phenylenediamine (PPD). PPD is marketed as black henna added to natural henna to accentuate the dark color and shorten the application time. PPD toxicity is well known and extensively reported in medical literature. We report a case of a young Saudi male who presented with characteristic features of acute renal failure and intravascular hemolysis following ingestion of henna mixture. Management of PPD poisoning is only supportive and helpful only if instituted early. Diagnosis requires a high degree of clinical suspicion, as the clinical features are quite distinctive.
authors: Department of Internal Medicine, Royal Commission Medical Center, Yanbu, Al-Sinaiyah, Kingdom of Saudi Arabia. hqurashi@hotmail.com
authors: Hala E A
authors: HE
authors: Qurashi
authors: Abbas A A
authors: AA
authors: Qumqumji
authors: Yasir
authors: Y
authors: Zacharia
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D000328:Adult; D017707:Erythrocyte Transfusion; D005765:Gastrointestinal Agents / Q000302:isolation & purification / Q000506:poisoning*; D006461:Hemolysis / Q000187:drug effects*; D006801:Humans; D031564:Lawsonia Plant / Q000737:chemistry*; D008297:Male; D010936:Plant Extracts / Q000302:isolation & purification / Q000506:poisoning*; D010946:Plants, Medicinal; D011041:Poisoning / Q000097:blood / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006435:Renal Dialysis; D016896:Treatment Outcome
chemical_list: D005765:Gastrointestinal Agents; D010936:Plant Extracts