A rare case report on super Vasmol hair dye poisoning
1 Department of Clinical Pharmacology, Aster CMI Hospital, Bangalore, India.
2 Department of Internal Medicine, Aster CMI Hospital, Bangalore, India.
3 Department of Clinical Pharmacology, KIMS Hospital, Bangalore, India.
Case Report
Open Access Research Journal of Medical and Clinical Case Reports, 2025, 03(01), 010-015.
Article DOI: 10.53022/oarjmccr.2025.3.1.0026
Publication history:
Received on 05 September 2025; revised on 15 October 2025; accepted on 17 October 2025
Abstract:
Hair dye addiction is not uncommon in India, it has become a growing concern. One of the main toxic components in hair dye is paraphenylenediamine (PPD). Acute PPD poisoning typically presents with severe angioedema of the upper respiratory tract. The tongue often becomes swollen, hard, and sticks out. Systemic toxicity may lead to multi-organ involvement including rhabdomyolysis and acute renal failure (ARF), with PPD ingestion being a rare but recognized cause of ARF. Currently, there is no specific antidote for PPD poisoning and treatment remains largely supportive. We report cases of poisoning with Super-Vasmol- a common hair dye associated with right adrenal hemorrhage and hepatotoxicity. Our case showed improvement with hemodialysis and medical intervention.
Keywords:
Right adrenal hemorrhage; Rhabdomyolysis; Acute kidney injury with anuria; Hypokalemia
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