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Myocarditis in hair dye poisoning
Ajay Pal Singh1, O P Jatav, Manish Dudani
1Olyai Hospital Campus, Hospital Road, Gwalior (MP), India. drajaypalsingh4@rediffmail.com
Indian Heart Journal
|May 28, 2010
Summary
Para-phenylenediamine (PPD) in hair dye can cause severe cardiac issues, including arrhythmias and myocardial damage, leading to fatal outcomes. This case highlights the critical cardiac manifestations of PPD poisoning.
Area of Science:
- Toxicology
- Cardiology
Background:
- Hair dyes containing para-phenylenediamine (PPD) are widely accessible.
- PPD poisoning is a known but uncommon cause of systemic toxicity.
Observation:
- A 16-year-old male presented with facial puffiness after ingesting hair dye.
- Initial presentation showed normal respiratory parameters.
- ECGs revealed significant cardiac abnormalities including RBBB, supraventricular, ventricular extrasystoles, and ventricular tachycardia.
Findings:
- Biochemical markers indicated myocardial damage, with elevated CPK-MB and positive C-troponin-T.
- The patient experienced cardiac arrest and unfortunately died.
- This case represents an uncommon but severe cardiac manifestation of PPD poisoning.
Implications:
- This case underscores the potential for severe cardiac toxicity from PPD ingestion.
- Increased awareness of PPD's cardiotoxic effects is crucial for emergency medical professionals.
- The widespread availability of PPD necessitates public health warnings regarding its ingestion.
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