Skip to main content
Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1983 Aug;20(4):307–309. doi: 10.1136/jmg.20.4.307

Phenazopyridine induced methaemoglobinaemia associated with decreased activity of erythrocyte cytochrome b5 reductase.

J S Daly, D E Hultquist, D L Rucknagel
PMCID: PMC1049126  PMID: 6620333

Abstract

A 25-year-old woman taking usual doses of phenazopyridine developed her third clinically significant episode of cyanosis. Life threatening methaemoglobinaemia was documented and was treated with methylene blue. The patient and several members of her family showed decreased activities of erythrocyte NADH-cytochrome b5 reductase, predisposing them to the development of clinically significant methaemoglobinaemia when challenged with oxidant drugs.

Full text

PDF
307

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CRAWFORD S. E., MOON A. E., Jr, PANOS T. C., HOOKS C. A. Methemoglobinemia associated with pyridium administration; report of a case. J Am Med Assoc. 1951 May 5;146(1):24–25. doi: 10.1001/jama.1951.03670010028007. [DOI] [PubMed] [Google Scholar]
  2. Carrell R. W., Kay R. A simple method for the detection of unstable haemoglobins. Br J Haematol. 1972 Nov;23(5):615–619. doi: 10.1111/j.1365-2141.1972.tb07096.x. [DOI] [PubMed] [Google Scholar]
  3. GREENBERG M. S., WONG H. METHEMOGLOBINEMIA AND HEINZ BODY HEMOLYTIC ANEMIA DUE TO PHENAZOPYRIDINE HYDROCHLORIDE. N Engl J Med. 1964 Aug 27;271:431–435. doi: 10.1056/NEJM196408272710902. [DOI] [PubMed] [Google Scholar]
  4. Hegesh E., Calmanovici N., Avron M. New method for determining ferrihemoglobin reductase (NADH-methemoglobin reductase) in erythrocytes. J Lab Clin Med. 1968 Aug;72(2):339–344. [PubMed] [Google Scholar]
  5. Horne M. K., 3rd, Waterman M. R., Simon L. M., Garriott J. C., Foerster E. H. Methemoglobinemia from sniffing butyl nitrite. Ann Intern Med. 1979 Sep;91(3):417–418. doi: 10.7326/0003-4819-91-3-417. [DOI] [PubMed] [Google Scholar]
  6. Hultquist D. E., Passon P. G. Catalysis of methaemoglobin reduction by erythrocyte cytochrome B5 and cytochrome B5 reductase. Nat New Biol. 1971 Feb 24;229(8):252–254. doi: 10.1038/newbio229252a0. [DOI] [PubMed] [Google Scholar]
  7. Jaffé E. R. Methaemoglobinaemia. Clin Haematol. 1981 Feb;10(1):99–122. [PubMed] [Google Scholar]
  8. SCOTT E. M. The relation of diaphorase of human erythrocytes to inheritance of methemoglobinemia. J Clin Invest. 1960 Jul;39:1176–1179. doi: 10.1172/JCI104131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Schimke R. N., Hartmann W. H., Prout T. E., Rimoin D. L. Syndrome of bilateral pheochromocytoma, medullary thyroid carcinoma and multiple neuromas. A possible regulatory defect in the differentiation of chromaffin tissue. N Engl J Med. 1968 Jul 4;279(1):1–7. doi: 10.1056/NEJM196807042790101. [DOI] [PubMed] [Google Scholar]
  10. Smith R. P., Olson M. V. Drug-induced methemoglobinemia. Semin Hematol. 1973 Jul;10(3):253–268. [PubMed] [Google Scholar]

Articles from Journal of Medical Genetics are provided here courtesy of BMJ Publishing Group

RESOURCES