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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
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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 - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abderrahim El Bouazzaoui - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Adam Khlifi Taghzouti - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Khalil Alaoui-Mhammedi - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Soumaya Touzani - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Nawfal Houari - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Brahim Boukatta - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Nabil Kanjaa - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
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.
