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EPİLASYON AMACIYLA PRİLOKAİN UYGULANAN BİR HASTADA GELİŞEN METHEMOGLOBİNEMİ

A CASE OF METHEMOGLOBINEMIA INDUCED BY THE ADMINISTRATION OF PRILOCAINE PRIOR TO AN EPILATION PROCEDURE

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The iron in the hemoglobin molecule is in ferrous state (Fe++). The oxidation of iron from ferrous to ferric (Fe+++) state causes methemoglobinemia. This reaction decreases the oxygen-carrying capacity of hemoglobin leading to hypoxemia of the peripheral tissues and even to death in severe cases. Methemoglobinemia is frequently related to chemical substances. However, hereditary or idiopathic cases have also been described. Methemoglobinemia due to local anesthetic drugs may occur especially in newborn infants. Here, we presented an adult case in which methemoglobinemia developed after the administration of prilocaine prior to an epilation procedure
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Abstract (Original Language): 
Normal flartlarda hemoglobinde bulunan demir iki de¤erlidir (Fe++). Hemoglobindeki demirin okside olup üç de¤erli (Fe+++) duruma geçmesiyle methemoglobinemi oluflur. Bu reaksiyon, dokuda hipoksemiye yol açar. A¤›r vakalarda hemoglobinin, oksijen ve karbondioksit tafl›ma kapasitesindeki ciddi bozulma nedeniyle ölüm meydana gelebilir. Methemoglobinemi s›kl›kla kimyasal maddelerle temas sonras› görülmekle beraber, genetik, besinlere ba¤l› ve idiopatik olarak da bulunabilir. Lokal anestetiklere ba¤l› methemoglobinemi daha çok yenido¤anlarda karfl›lafl›lan bir durumdur. Bu yaz›da epilasyon ifllemi öncesi prilokain uygulanan ve sonras›nda akut methemoglobinemi geliflen eriflkin bir olgu sunulmufltur.
FULL TEXT (PDF): 
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  • 1
19-21
  • Turkish

REFERENCES

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