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Related Experiment Videos

Cyanosis in a compulsive urine drinker.

Wing Bun Chan1, Eric Law, Yuk Tong Lee

  • 1Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China. wbchan@cuhk.edu.hk

International Journal of Clinical Practice
|August 18, 2004
PubMed
Summary

A young man developed methemoglobinemia from drinking urine, a rare condition. Treatment involved methylene blue and behavioral therapy, successfully resolving the issue and preventing recurrence.

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Area of Science:

  • Internal Medicine
  • Toxicology
  • Psychiatry

Background:

  • Compulsive urine drinking (urophagia) is a rare behavioral disorder.
  • Methemoglobinemia is a condition where hemoglobin is oxidized, reducing oxygen transport.

Observation:

  • An 18-year-old presented with vomiting and cyanosis.
  • Oxygen saturation was low (84%), but arterial blood gas was normal.
  • Methemoglobinemia was diagnosed as the cause.

Findings:

  • Urine drinking was identified as the cause of methemoglobinemia.
  • Successful treatment with methylene blue was administered.
  • Behavioral therapy addressed the compulsive urine drinking.

Implications:

Related Experiment Videos

  • This case highlights a rare cause of acquired methemoglobinemia.
  • Integrated treatment of medical and behavioral aspects is crucial for managing such conditions.
  • Early diagnosis and intervention can prevent severe complications.