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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
     

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

Abstract Views: 491  |  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