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Case Report
Glasses-shaped petechiae and bilateral subconjunctival hemorrhage following a Valsalva maneuver in the setting of iron poisoning
1 Resident, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco
2 Full Professor, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco
3 Associate Professor, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco
4 Head of Department, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco
Address correspondence to:
Fatima Zahra Haddari
Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Sidi Hrazem Road, Fez 30070,
Morocco
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Article ID: 101253Z01FH2021
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Haddari FZ, El Bouazzaoui A, Khlifi Taghzouti A, Alaoui-Mhammedi K, Touzani S, Houari N, Boukatta B, Kanjaa N. Glasses-shaped petechiae and bilateral subconjunctival hemorrhage following a Valsalva maneuver in the setting of iron poisoning. Int J Case Rep Images 2021;12:101253Z01FH2021.ABSTRACT
Introduction: Acute iron salt poisonings are potentially serious poisonings that can be life threatening. The toxicity is mainly digestive, cardiovascular, and hepatic. To make a first assessment of the potential seriousness of the poisoning, it is necessary to calculate (in mg/kg) the dose assumed to be ingested in elemental iron. The Valsalva maneuver during the vomiting effort may be responsible for retinal or subconjunctival hemorrhage.
Case Report: We report the case of glasses-shaped petechiae and bilateral subconjunctival hemorrhage following a Valsalva maneuver in the setting of iron poisoning in an 18-year-old female patient whose outcome was favorable.
Conclusion: In our case, the dose of iron ingested was not accompanied by symptoms related to intoxication, but rather periorbital petechiae and subconjunctival hemorrhage following the Valsalva maneuver associated with the efforts to vomit.
Keywords: Glasses-shaped petechiae, Iron poisoning, Subconjunctival hemorrhage, Valsalva maneuver
SUPPORTING INFORMATION
Author Contributions
Fatima Zahra Haddari - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Abderrahim El Bouazzaoui - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Adam Khlifi Taghzouti - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Khalil Alaoui-Mhammedi - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Soumaya Touzani - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nawfal Houari - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Brahim Boukatta - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nabil Kanjaa - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Fatima Zahra Haddari et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
