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Accidental transdermal methanol poisoning presenting to a regional emergency department

  • Chelsea R. Beaton (a1) (a2) and Clinton Meyer (a1) (a3)

Abstract

Learning Points:

  • Know and identify clinical presentations of toxic alcohols.
  • Understand the differential diagnosis of high anion gap metabolic acidosis.
  • Appreciate the importance of history and clinical findings in establishing methanol toxicity diagnoses, especially in centres where laboratory testing is unavailable.
  • Recognize the value of provincial poison centres in supporting emergency physicians in the diagnosis and management of poisonings and overdoses.

Copyright

Corresponding author

Correspondence to: Dr. Chelsea R. Beaton, North Battleford Rural Family Medicine Residency Program, University of Saskatchewan College of Medicine, 102-11427 Railway Avenue, North Battleford, SK S9A 3G8; Email: crb749@mail.usask.ca

References

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1.Henderson, W, Brubacher, J. Methanol and ethylene glycol poisoning: a case study and review of current literature. CJEM 2002;4(1):3440.
2.Barceloux, D, Bond, R, Krenzelok, E, et al. American Academy of Clinical Toxicology practice guidelines on the treatment of methanol poisoning. Clin Toxicol 2002;40(4):415–46.
3.Uca, A, Kozak, H, Atlas, M. An undercovered health threat in Turkey: transdermal methanol intoxication. Clin Neuropharmacol 2015;38(2):52–4.
4.Karaduman, F, Asil, T, Balci, K, et al. Bilateral basal ganglionic lesions due to transdermal methanol intoxication. J Clin Neurosci 2009;16:1504–6.
5.Kraut, J, Kurtz, I. Toxic alcohol ingestions: clinical features, diagnosis, and management. Clin J Am Soc Nephrol 2008;3:208–25.

Keywords

Accidental transdermal methanol poisoning presenting to a regional emergency department

  • Chelsea R. Beaton (a1) (a2) and Clinton Meyer (a1) (a3)

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