Relation of Methemoglobin to Hernolysis

نویسنده

  • DOROTHY BLAIR
چکیده

IT IS \VELL KNO\VN that a number of chemical agents, w’hieh under certain circumstances cause intravascular hemolvsis an(l the development of hemolytic anemia, also produce methemoglobinemia. Some examples of these agents are stllfanilam ide, phenylhydrazine, aniline , acetanilid, p-aminophenol , plasmochin, etc. Such a correlation may lead to the inference that intracorpu.scular methemoglobin is related in some way to the process of hemolysis. It has been observed that. the dosage level of acetanilid and acetophenet.idin causing significant anemia also exceeds the threshold for methemoglobin formation.’ The data of Rimington and Hemmings2 might also he interpreted to lend some additional support to the view’ that methemoglobin plays some positive role. In studies on drugs related to sulfanilamide, they observed a close correlation between the action of aromatic amino compounds to increase porphyrin excretion and to form met.hemoglohin. Since the increased porphyrin excretion in rodent.s was due largely to coproporphyrin III, it has been suggested that this represents an abnormal pathw’ay for the degradation of hemoglobin possibly through methemoglobin.2 ‘ However, Rimington and Hemmings2 w’ere not certain as to the role of the methemoglobin in either the increased erythrocyte destruction or the increased porphyrin excretion since the latter w’as not observed after sodium nitrite administration, which readily produces methemoglobin. Fox and Ottenberg4 studying the hemolytic anemias from sulfonamides in man observed a

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تاریخ انتشار 2005