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Abstract
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OBJECTIVE: Management of patients who presented with blackstone poisoning/Paraphenylenediamine (PPD). Study Design: Observational descriptive study. Place and Duration of Study: ENT Head and Neck Surgery Department, Jinnah Post Graduate Medical Center (JPMC) Karachi, from Jan 2019 to Dec 2020.
METHODology: Proforma was designed to collect data for the study. Patients and/or attendants were asked questions regar-ding PPD ingestion reason, evidence of poison ingestion, symptoms, color, and route and time interval to reach hospital. All of the collected were entered in SPSS and analyzed using SPSS version 21. Descriptive statistics in terms of mean ± standard deviation or frequencies with percentages were computed to summarize the collected data as appropriate.
RESULT: Total 44 patients came to emergency department with diagnosis of black stone (kalapathar poisoning) as evident by patient or by attendant. Out of them 29 patients were female (65.9%). Majority of patients 35 (79.54%) were age between 15-30 years Most of the patients 41 (93.18%) took more than 2 hours to reach hospital patients were of age between 41-50 years. Forty-two (95.5%) out of 44 ingested PPD with an intention to suicide while only 2 (4.5%) patients ingested PPD accidentally. Forty patients (90%) had severe tongue and neck swelling and underwent emergency tracheostomy while on the other hand, only 4 patients (9.09%) presented with minor tongue swelling and cervicofacial edema impending stridor clinically. Out of these 4 patients, 2 further underwent emergency tracheostomy.
CONCLUSION: Paraphenylenediamine poisoning is commonly used in Pakistan for suicidal purpose especially in females as its easily available and cheap. All of the patients need Emergency tracheostomy due to angioneurotic edema leads to asphyxia. Therefore, we need to spread awareness so that its availability should be banned and Psychiatrists should do counseling of such patients for their mental health. © 2021, Army Medical College. All rights reserved.
Language: en |