title: Cost of Beauty; Prilocaine Induced Methemoglobinemia.
abstract: Prilocaine induced methemoglobinemia is a rare entity. In the present paper, the authors aim to draw attention to the importance of this rare condition by reporting this case. A 30-year-old female presented to Emergency Department with headache, dispnea and cyanosis. The patient has a history of 1000-1200 mg of prilocaine subcutaneous injection for hair removal at a beauty center, 5 hours ago. Tension arterial: 130/73 mmHg, pulse: 103/minute, body temperature: 37 °C and respiratory rate: 20/minute. The patient had acral and perioral cyanosis. Methemoglobin was measured 14.1% in venous blood gas test. The patient treated with 3 gr ascorbic acid intravenously. The patient was discharged free of symptoms after 48 hours of observation. Emergency physician should consider methemoglobinemia in presentation of dispnea and cyanosis after injection of prilocaine.
authors.affiliation: Department of Emergency Medicine, Başkent University Faculty of Medicine, Ankara.
authors.forename: Elif
authors.initials: E
authors.lastname: Kilicli
authors.affiliation: Department of Emergency Medicine, Başkent University Faculty of Medicine, Ankara.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Aksel
authors.affiliation: Department of Emergency Medicine, Başkent University Faculty of Medicine, Ankara.
authors.forename: Betul
authors.initials: B
authors.lastname: Akbuga Ozel
authors.affiliation: Department of Emergency Medicine, Başkent University Faculty of Medicine, Ankara.
authors.forename: Cemil
authors.initials: C
authors.lastname: Kavalci
authors.affiliation: Department of Emergency Medicine, Başkent University Faculty of Medicine, Ankara.
authors.forename: Dilek
authors.initials: D
authors.lastname: Suveren Artuk
keywords: Methemoglobinemia; cyanosis; prilocaine