A cyanosis ritka oka: Sulphhaemoglobinaemia

Translated title of the contribution: A rare cause of cyanosis - A case report on sulfhemoglobinemia

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Abstract

INTRODUCTION - Sulfhemoglobinemia (SHb) is an uncommon cause of cyanosis that is predominantly caused by drugs in adults. CLINICAL CASE - We report on an unusual case of sodium sulfate induced sulfhemoglobinemia in a 61-year-old woman after surgical polypectomy. Fractional hemoglobin derivates were assayed by spectrophotometry and high-performance liquid chromatography (HPLC). The sulfhemoglobinemia ratio was 8.6% in the first sample, and 3.77% a month later measured by spectrophotometry. In the hemolysate a new peak was identified as sulfhemoglobinemia by HPLC. It showed the presence of 9.37% sulfhemoglobinemia in the first sample and 4.88% a month later. After omitting the suspected toxic agent the cyanosis decreased significantly. CONCLUSIONS - The findings underline the importance of routine sulfhemoglobinemia analysis in cases of cyanosis of unknown origin.

Original languageHungarian
Pages (from-to)52-55
Number of pages4
JournalLege Artis Medicinae
Volume16
Issue number1
Publication statusPublished - Jan 1 2006

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ASJC Scopus subject areas

  • Medicine(all)

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