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Methaemoglobinaemia is a potentially life-threatening complication of problem drug use. This is a case report of a year-old man who presented himself cyanosed after a cocaine binge.

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Try out PMC Labs and tell us what you think. Learn More. Acquired methaemoglobinaemia is a serious complication caused by many oxidising drugs.

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Public health alert issued over cocaine condition

NICE has issued rapid update guidelines in relation to many of these. This guidance is changing frequently. Patients with anaemia do not develop cyanosis until the oxygen saturation SaO 2 has fallen to lower levels than for patients with normal haemoglobin levels and patients with polycythaemia develop cyanosis at higher oxygen saturation levels.

Cyanosis can be divided into either central or peripheral [ 1 ]. Unless the cause is already established, episodes of central cyanosis require urgent assessment, especially infants and young children, who require urgent admission.

Curr Opin Pediatr. Adeyinka A et al ; Cyanosis.

Acute management of cocaine-associated methaemoglobinaemia

In: StatPearls, Dani C, Drovandi L, Bertini G, et al ; Unexpected episodes of cyanosis in late preterm and term neonates prompted admission to a neonatal care unit. Ital J Pediatr. Indian J Clin Biochem.

Epub Jun Das S, Maiti A ; Acrocyanosis: an overview. Indian J Dermatol. Hello everyone.

I am 41 years old, cm tall, 77kg male. A few days ago I did a heart health check up and I am Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy.

Methaemoglobinaemia due to mephedrone (‘snow’)

Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. This article is for Medical Professionals.

In this article Differential diagnosis Presentation Investigations Management. Central cyanosis Central cyanosis is caused by diseases of the heart or lungs, or abnormal haemoglobin methaemoglobinaemia or sulfhaemoglobinaemia.

What can cause lips to turn blue?

Cyanosis is seen in the tongue and lips and is due to desaturation of central arterial blood resulting from cardiac and respiratory disorders associated with shunting of deoxygenated venous blood into the systemic circulation. Patients who are centrally cyanosed will usually also be peripherally cyanosed. Associated features of central cyanosis depend on the Blue lips drugs cause and include dyspnoea and tachypnoea, secondary polycythaemia and bluish or purple discolouration of the oral mucous membranes, fingers and toes.

The hands and feet are usually normal temperature or warm but not cold unless there is an associated poor peripheral circulation. Further reading and references.

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