1.Clinical Observation of Dds Induced Methemoglobinemia.
Hee Seon AUH ; Kwan Hwooy CHO ; Kir Young KIM ; Duk Jin YUN ; Sook Pyo KWON
Journal of the Korean Pediatric Society 1983;26(3):257-264
No abstract available.
Methemoglobinemia*
2.Value of methemoglobinemia and its clinical significant
Journal of Practical Medicine 2002;407(1):13-16
The high level of Methemoglobinemia influences the combination of blood with oxygen and oxygen transfer to cells which can lead to the life in the normal condition. Methemoglobine is a component of erythrocyte in a very small amount(less than 1% of total Hemoglobine). An increased Methemoglobine leads to the disorder of oxygen delivery. The clinical symptoms are direct proportional with the methemoglobinemia level. The hypermethmoglobinemia includes the congenital- methemoglobinemia and the acquired methemoglobinemia. The congenital hypermethemoglobinemia attibuted to a partly or completed deficiency of Methemoglobine reductase in patients with the deficiency of genetic heterozygous - enzyme or abnormal methemoglobine: the acquired methemoglobinemia occurred after exposure with the chromatic compound, food, water with much nitrate or use of some drugs. The quantitative analysis of methemoglobinemia has a values in the diagnosis, treatment and prognosis
Methemoglobinemia
;
Prognosis
3.Congenital methemoglobinemia.
Journal of the Philippine Medical Association 2018;97(1):33-41
This report a case of a ten-year-old female
with progressive cyanosis and dyspnea on exertion.
Clinical and laboratory work up ruled out a cardiac
and pulmonary pathology warranting further
investigation for possible hemoglobinopathies.
Enzyme assay showed deficiency in cytochrome b5
reductase seen in patients with congenital
methemoglobinemia. Ascorbic acid at 200mg daily
afforded gradual improvement in cyanosis.
Methemoglobinemia
;
Cyanosis
4.Clinical Observation of The Methemoglobinemia in Childrens.
Hak Hew SHIN ; Chull Kwon CHUNG ; Myung Hi SHIN ; Ji Sub OH
Journal of the Korean Pediatric Society 1982;25(11):1131-1140
No abstract available.
Child*
;
Humans
;
Methemoglobinemia*
5.Role of ascorbic acid in dapsone induced methemoglobinemia
Kamal Kant SAHU ; Ajay Kumar MISHRA
Clinical and Experimental Emergency Medicine 2019;6(1):91-92
No abstract available.
Ascorbic Acid
;
Dapsone
;
Methemoglobinemia
6.Methemoglobin and treatment of hypermethemolobinemia
Journal of Medical Research 2002;18(2):61-65
The hyper-methemoglobinemia causes the oxygen transfer disorder. The clinical symptoms depends on the level of methemoylobinemia. Hypermethemoglobinemia can be congenital or acquired hypermethemoglobinemia. The congenital hypermethemoglobinemia caused by partial or total methemoglobine reeducates deficiency in patients with rare genetic heterozygous enzyme deficiency due to the abnormal hemoglobin. The acquired hypermethemoglobinemia occurred after exposure to colour compound, food and drinking water with nitrate or drugs. The determination of causative agent of hypermethemoglobin help treating more effectively
Methemoglobin
;
Hemoglobins, Abnormal
;
Therapeutics
;
Methemoglobinemia
7.Inaccurate Reading of Pulse Oximeter Due to Methemoglobinemia: A case report.
Korean Journal of Anesthesiology 1999;37(5):927-930
Pulse oximeters measure the arterial oxygenation by determining the color of the blood between a light source and a photodetector. The light source consists of two light-emitting diodes (LEDs) that emit light at known wave lengths, 660 nm red light and 940 nm infrared light. The ratio of pulse-added red absorbance at 660 nm to pulse-added infrared absorbance at 940 nm is used to generate the oximeter's estimate of arterial saturation (SpO2). Pulse oximeters can determine the concentration of only two hemoglobins, reduced (HHb) and oxyhemoglobin (HbO2), so they can't distinguish the dyshemoglobins (methemoglobin, carboxyhemoglobin) which have light absorbances similar to that of HHb or HbO2. If the concentration of dyshemoglobin is above the normal range, pulse oximeters would give erroneous SpO2 readings. We experienced a case which showed a low SpO2 reading but had normal ABGA findings due to unsuspected methemoglobinemia.
Methemoglobinemia*
;
Oxygen
;
Oxyhemoglobins
;
Reading
;
Reference Values
8.Effect of N-acetylcysteine on Dapsone-Induced Methemoglobinemia.
Wen Joen CHANG ; Seung Ho KIM ; Hahn Shick LEE
Journal of the Korean Society of Emergency Medicine 1997;8(2):150-154
BACKGROUND: To determine whether N-acetylcysteine(NAC) reduces methemoglobin. METHOD: We carried out an in vivo experiment in rats, weighed about 300g. Each rat was ingested 200mg of dapsone(4,4'diaminodiphenyl sulphone) to induce methemo- globinemia. After 1 hour, 30 rats were received NAC 160mg(2ml) and another 30 rats, served as control, were received 2ml of normal saline orally,4 times hourly. Serum methemoglobin concentrations were checked 1,6, and 24 hours after dapsone ingestion. RESULT: The methemoglobin concentrations on each time were 27.1+/-5.8%,23.5+/-8.8%, 17.1+/-6.4%(mean+/-SD) in control group and 25.5+/-6.3%, 25.5+/-8.8%, 65.5+/-31.2%(mean+/-SD) in NAC group. There were no differences on methemoglobin concentrations at 1 and 6 hours between two groups(P>.05). At 24 hours, the methemoglobin concentrations of NAC group was significantly higher than those of control group(P<.01). CONCLUSION: NAC had no therapeutic effects on dapsone induced methemoglobinemia in this experimental setting.
Acetylcysteine*
;
Animals
;
Dapsone
;
Eating
;
Methemoglobin
;
Methemoglobinemia*
;
Rats
9.A Case of Congenital Methemoglobinemia Due to NADH-Methemoglobin Reductase Deficiency.
Do Hyeon KIM ; Jin A LEE ; Sung Jae LEE ; Heui Seung JO ; Yun Kyoung LEE ; June Dong PARK ; Beyong Il KIM ; Jung Hwan CHOI ; Dong Soon LEE ; Han Ik CHO ; Kyung Ran PARK
Journal of the Korean Pediatric Society 2001;44(6):699-704
Congenital methemoglobinemia is caused by NADH-methemoglobin reductase deficiency in more than half of the total reported cases. NADH-methemoglobin reductase deficiency is an uncommon hereditary disorder producing methemoglobinemia and cyanosis in the homozygous subject. A majority of the patients born with these abnormalities have only a cosmetic defect-asymptomatic cyanosis. Congenital methemoglobinemia due to NADH-methemoglobin reductase deficiency is an autosomal recessive disorder and classified into 4 types according to the pathophysiology of the disorder. In type I, the deficiency of NADH-methemoglobin reductase is restricted to erythrocytes of patients with mild cyanosis, and 7 missence mutations have been reported in the case of type I. We report the first Korean pediatric case of type I congenital methemoglobinemia due to NADH- methemoglobin reductase deficiency with a review of the literature.
Cyanosis
;
Cytochrome-B(5) Reductase
;
Erythrocytes
;
Humans
;
Methemoglobinemia*
;
Oxidoreductases*
10.Two Cases of Methemoglobinemia Induced by the Exposure to Nitrobenzene and Aniline.
Chang Hwan LEE ; Soo Hyeon KIM ; Do Hyung KWON ; Keun Ho JANG ; Yong Hoon CHUNG ; Jai Dong MOON
Annals of Occupational and Environmental Medicine 2013;25(1):31-
OBJECTIVE: To report two cases of methemoglobinemia induced by inhaled nitrobenzene and dermally absorbed aniline. METHODS: We have evaluated a 37-year-old male worker exposed to nitrobenzene by inhalation while conducting maintenance job of mononitrobenzene pump and a 25-year-old male worker exposed dermally to aniline while unloading. RESULTS: The first case is a 37-year-old male exposed to nitrobenzene. His blood methemoglobin concentration level was initially 19.8%, and chest X-ray was normal. After oxygen therapy, the blood methemoglobin concentration level decreased to 2.1%, and the symptoms were alleviated. The second case is a 25-year-old male exposed dermally to aniline. His chest X-ray was normal, but blood methemoglobin concentration level reached maximally 46.8%. He was treated with methylene blue due to relatively high blood methemoglobin level. Gradually after the treatment, his methemoglobin concentration level was normalized to 0.8% and simultaneously symptoms were resolved. CONCLUSIONS: After the thorough exposure investigations and medical evaluations, we have concluded that these cases were methemoglobinemia induced by occupational exposure to nitrobenzene and aniline. We suggest that businesses which handle methemoglobinemia-causing substances control the engineering process strictly, implement periodic screening, and establish emergency patient management system.
Adult
;
Commerce
;
Emergencies
;
Humans
;
Inhalation
;
Male
;
Mass Screening
;
Methemoglobin
;
Methemoglobinemia*
;
Methylene Blue
;
Occupational Exposure
;
Oxygen
;
Thorax