@article{ref1,
title="Poisoning by a forbidden "black stone" of paraphenylene-diamine: Systemic toxicity of PPD",
journal="Tijdschrift voor Geneeskunde",
year="2010",
author="Sinjan, E. and Rutsaert, R. and Druwe, P.",
volume="66",
number="17",
pages="826-829",
abstract="For more than twenty years hair dye poisoning by intentional paraphenylene-diamine (PPD) ingestion has been a common and potentially severe way of suicide in Northern Africa, the Indian subcontinent and Saudi Arabia. We report the case of a 37-year-old Moroccan woman who committed suicide by deliberate ingestion of PPD. Systemic toxicity of PPD is characterized by acute respiratory distress secondary to laryngeal edema, rhabdomyolysis with myoglobinuria and a chocolate brown colored urine as well as acute renal failure. Myocardial injury may be a fatal complication. No specific antidote exists against PPD, the treatment remaining supportive. Mortality rate is high.<p /><p>Language: nl</p>",
language="nl",
issn="0371-683X",
doi="10.2143/TVG.66.17.2000817",
url="http://dx.doi.org/10.2143/TVG.66.17.2000817"
}