Demographic profile and clinical picture of patients presented with Paraphenylene Diamine (PPD)/ Kala Pathar poisoning at a District Teaching Hospital

  • Sheraz Akbar Sahiwal Medical College (SLMC), Sahiwal
  • Zahid Kamal Siddiqui Sahiwal Medical College (SLMC), Sahiwal-Punjab
  • Rana Aamir Diwan Sahiwal Medical College (SLMC), Sahiwal-Punjab
  • Muhammad Hassam Rehm Sahiwal Medical College (SLMC), Sahiwal-Pakistan
Keywords: Suicide, deliberate self-harm, Paraphenylene Diamine (PPD), kala Pathar, Cervico-facial edema, Tracheostomy

Abstract

Objective: To document demographic profile, clinical features and management of patients presented with PPD/Kala Pathar poisoning at District Teaching Hospital Sahiwal, Pakistan.

Methods: This cross-sectional study utilized data for cases of PPD poisoning presented at study place from 1st July 2019 to 30th June 2020. Relevant information was recorded on a proforma.

Results: A total of 111 cases were included in study. Mean age was 23.01 ± 7.24 years. Majority of cases were observed in females (82%) and majority presented from rural areas (87.4%). Cervico-facial edema (78.4%) and respiratory distress (66.7%) were the most common findings. Evidence of some level of organ damage was recorded in following manner: kidneys (44.1%), musculoskeletal (50.5%) and cardiac (45.9%). Tracheostomy was carried out in 47.7% cases and dialysis in 11.7% cases. All cases ingested PPD in raw form. Mortality rate was 50.5%.

Conclusion: PPD poisoning is associated with high rate of morbidity and mortality. Effective clinical management requires multidisciplinary approach. Measures to restrict access to this means of suicide are urgently needed. We need to set up a surveillance system for cases of attempted suicide.

doi: https://doi.org/10.12669/pjms.37.5.4251

How to cite this:
Akbar S, Siddiqui ZK, Diwan RA, Rehm MH. Demographic profile and clinical picture of patients presented with Paraphenylene Diamine (PPD)/ Kala Pathar poisoning at a District Teaching Hospital. Pak J Med Sci. 2021;37(5):1397-1401.  doi: https://doi.org/10.12669/pjms.37.5.4251

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2021-07-15
How to Cite
Akbar, S., Siddiqui, Z., Diwan, R., & Rehm, M. (2021). Demographic profile and clinical picture of patients presented with Paraphenylene Diamine (PPD)/ Kala Pathar poisoning at a District Teaching Hospital. Pakistan Journal of Medical Sciences, 37(5). https://doi.org/10.12669/pjms.37.5.4251
Section
Original Articles