Abstract
Children are most susceptible to accidental exposure of common household substances and one of the common household substances is nail polish remover. The chemical N,N-dimethyl-p-toluidine is a chemical commonly found in artificial fingernail solutions. Its oxidation metabolite phenylhydroxylamine is presumably one of the most potent chemical producers of methemoglobin. Fingernail care products account for a significant number of pediatric poisonings in the western world with few fatalities. We are presenting a case of accidental ingestion of nail polish remover with lethal Methemoglobinemia (Serum methemoglobin level-72%). This patient was treated successfully with injection methylene blue. However, even small amounts can be dangerous to children, so it is important to keep this and all household chemicals in a safe place. DOI: http://dx.doi.org/10.3329/bjch.v36i1.13040 Bangladesh J Child Health 2012; Vol 36 (1): 49-50
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