alexa Black Stone Poisoning: A Case Report
ISSN: 2161-0495

Journal of Clinical Toxicology
Open Access

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Case Report

Black Stone Poisoning: A Case Report

Muhammad Arshad1, Hina Inam2, Farida karim2 and Usama Khalid2*

1Consultant Pediatric Surgery, Aga Khan University Hospital, Karachi, Pakistan

2Department of Postgraduate Medical Education, Aga Khan University Hospital, Karachi, Pakistan

*Corresponding Author:
Usama Khalid Choudry
Department of Postgraduate Medical Education
Aga Khan University Hospital, Karachi, Pakistan
Tel: +923456165524
E-mail: [email protected]

Received date: May 04, 2017; Accepted date: June 06, 2017; Published date: June 13, 2017

Citation: Arshad M, Inam H, Karim F, Khalid U (2017) Black Stone Poisoning: A Case Report. J Clin Toxicol 7:353. doi: 10.4172/2161-0495.1000353

Copyright: © 2017 Arshad M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Introduction: Paraphenylenediamine (PPD) is the constituent of hair dyes that is responsible for toxicity. Hair dye (PPD) poisoning is associated with high morbidity and mortality and dramatic increase in its incidence has been seen in recent years. We share our experience of a case of complicated PPD poisoning and its management.

Case Description: A 3 year old boy presented to A&E with extensive cervicofacial edema and difficulty breathing for past 6 h. Patient underwent emergency tracheostomy and was kept under mechanical ventilation. Patient responded well to corticosteroids and anti-allergic medications. There was a history of ingestion of hair dye mixed water prior to the onset of symptoms.

Conclusion: Paraphenylene diamine (PPD) (Kala Pathar) poisoning is associated with high morbidity & mortality. It is emerging as a common form of poisoning both accidental and intentional among Asian and African countries due its easy availability and low cost. PPD intoxication can have serious and lethal manifestation that require prompt diagnosis and management. Therefore, we recommend public awareness and education regarding this toxin and early recognition and aggressive airway management.


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