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నైరూప్య

Kaala Pathar (Paraphenylene Diamine) Poisoning and Angioedema in a Child: An Unusual Encounter

Sidra Ishaque, Anwar ul Haq, Humaira Jurair and Habib Siyal

Hair dye ingestion is a rare cause of toxicity in Pakistan. Hair dyes contain paraphenylene-diamine (PPD) and a host of other chemicals that can cause rhabdomyolysis, laryngeal edema, severe metabolic acidosis and acute renal failure. Clinical outcomes rely on early recognition, prompt referral, and aggressive supportive treatment. Timely intervention has been shown to improve the outcome. There are many case reports of PPD poisoning in adults in which it was mainly used for deliberate self-harm purpose. However there is very little data regarding PPD poisoning in children. We report a case of a three year old boy who presented with severe respiratory distress and angioedema, who underwent emergent tracheostomy placement.