Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Rare Case of Supervasmol Poisoning with Bradycardia and Reversible Left Ventricular Systolic Dysfunction


Affiliations
1 Department of General Medicine, Santhiram Medical College, Nandyal, Kurnool, Andhra Pradesh, India
2 Sri Vijaya Durga Cardiac Centre, Kurnool, Andhra Pradesh, India
     

   Subscribe/Renew Journal


Super vasmol is an emulsion based hair dye commonly used in India. There is no specific antidote for its main ingredient paraphenylene diamine (PPD) and treatment is mainly supportive. Supervasmol poisoning with bradycardia and reversible left ventricular systolic dysfunction is a rare association. The exact mechanism of the cause is not known. We report a case of 45-year-old female who consumed "SUPER VASMOL" for suicidal purpose and developed sinus bradycardia and reversible left ventricular systolic dysfunction which was treated successfully and discharged. Cardiac manifestations were rare and also life threatening. Unless the patient is monitored continuously and prompt treatment instituted, it may prove fatal.

Keywords

Hair Dye Poisoining, Paraphenylene Diamine (PPD), Reversible Left Ventricular Systolic Dysfunction, Bradycardia.
User
Subscription Login to verify subscription
Notifications
Font Size

  • Bhargava P, Matthew P. Hair dye poisoning. J Assoc physicians India 2007;55:871-2.
  • Wall FE. Bleaches, hair colorings and dye removers. In: Sagarin E, editor. Cosmetics science and technology. New York: Interscience Publishers Inc; 1957. pp. 479–530.
  • Krishnaswamy Sampathkumar, Sooraj Yesudas. Hair dye poisoning and the developing world. Emerg Trauma Shock 2009 MayAug;2(2):129-131
  • RAMMURTHY, P., et al. “Super Vasmol Hair Dye: An Emerging Fatal Poison.”Indian Journal of Clinical Practice 25.7 (2014).
  • Jain PK, Sharma AK, Agarwal N, Sengar NS, Siddiqui MZ, Singh AK, et al. A prospective clinical study of myocarditis in cases of paraphenylenediamine (hair dye) poisoning in Northern India. Journal of Clinical Medicine Research. 2012; 4(7): 106-1
  • Radhika, D., Mohan, K. M., Sreenivasulu, M., Reddy, Y. S., & Karthik, T. S. (2012). Hair dye poisoning-A clinicopathological approach and review. J Biosci Tech, 3(4), 492-7.
  • Rehani MM, Jain IS, Sharma SK. Distribution kinetics of 3H—labeled p-phenylene diamine—a hair dye. The Indian Journal of Medical Research. 1981; 74: 129-34.

Abstract Views: 370

PDF Views: 3




  • A Rare Case of Supervasmol Poisoning with Bradycardia and Reversible Left Ventricular Systolic Dysfunction

Abstract Views: 370  |  PDF Views: 3

Authors

A. Anirudh Kumar
Department of General Medicine, Santhiram Medical College, Nandyal, Kurnool, Andhra Pradesh, India
A. Vasanth Kumar
Sri Vijaya Durga Cardiac Centre, Kurnool, Andhra Pradesh, India
G. Vijay Kumar
Department of General Medicine, Santhiram Medical College, Nandyal, Kurnool, Andhra Pradesh, India
G. Prabhakar Rao
Department of General Medicine, Santhiram Medical College, Nandyal, Kurnool, Andhra Pradesh, India
S. Nagaraju
Department of General Medicine, Santhiram Medical College, Nandyal, Kurnool, Andhra Pradesh, India

Abstract


Super vasmol is an emulsion based hair dye commonly used in India. There is no specific antidote for its main ingredient paraphenylene diamine (PPD) and treatment is mainly supportive. Supervasmol poisoning with bradycardia and reversible left ventricular systolic dysfunction is a rare association. The exact mechanism of the cause is not known. We report a case of 45-year-old female who consumed "SUPER VASMOL" for suicidal purpose and developed sinus bradycardia and reversible left ventricular systolic dysfunction which was treated successfully and discharged. Cardiac manifestations were rare and also life threatening. Unless the patient is monitored continuously and prompt treatment instituted, it may prove fatal.

Keywords


Hair Dye Poisoining, Paraphenylene Diamine (PPD), Reversible Left Ventricular Systolic Dysfunction, Bradycardia.

References





DOI: https://doi.org/10.22506/ti%2F2016%2Fv23%2Fi1%2F146677