Indian Journal of Forensic Medicine & Toxicology

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Risk of Hemorrhage in Methanol Toxicity


Affiliations
1 Loghman-Hakim Poison Hospital, Department of Clinical Toxicology and Forensic Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of
2 Toxicological Research Center,Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of
3 Department of Clinical Toxicology and Forensic Medicine, Iran University of medical sciences, Tehran, Iran, Islamic Republic of
     

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Methanol is a clear, colorless liquid with a smell and taste similar to ethanol. Intoxications with methanol are still frequent in large parts of the developing world. Hemodialysis should be done in severe toxicity to eliminate toxic metabolites. In this case report, we describe 37-year-old chronic alcohol abuser with methanol poisoning, who got hematuria and upper GI bleeding after hemodialysis. The upper GI endoscopic findings showed only low grade esophageal ulcer. Hematuria and upper GI bleeding in our patient might also have been due to the effect of heparinization during hemodialysis.
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  • Risk of Hemorrhage in Methanol Toxicity

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Authors

Babak Mostafazadeh
Loghman-Hakim Poison Hospital, Department of Clinical Toxicology and Forensic Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of
Arezou Mahdavinejad
Toxicological Research Center,Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of
Abbas Aghabiklooei
Department of Clinical Toxicology and Forensic Medicine, Iran University of medical sciences, Tehran, Iran, Islamic Republic of

Abstract


Methanol is a clear, colorless liquid with a smell and taste similar to ethanol. Intoxications with methanol are still frequent in large parts of the developing world. Hemodialysis should be done in severe toxicity to eliminate toxic metabolites. In this case report, we describe 37-year-old chronic alcohol abuser with methanol poisoning, who got hematuria and upper GI bleeding after hemodialysis. The upper GI endoscopic findings showed only low grade esophageal ulcer. Hematuria and upper GI bleeding in our patient might also have been due to the effect of heparinization during hemodialysis.

References