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JAMA. 1961;177(5):328-330. doi: 10.1001/jama.1961.73040310021012

Congenital Methemoglobinemia in Pregnancy

  1. George Pepper, M.D.;
  2. Hyman G. Weinstein, M.S.;
  3. Paul Heller, M.D.
  1. Chicago
  2. From the departments of obstetrics and gynecology, and medicine, University of Illinois College of Medicine, and the Research Laboratory, Veterans Administration West Side Hospital.

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

CONGENITAL methemoglobinemia1-4 is a rare, genetically determined abnormality which is of clinical importance mainly because of the marked cyanotic appearance of the carriers of this defect, thus giving rise to the suspicion of the presence of a serious disease. The cyanosis, however, is only rarely associated with other clinical manifestations. This discrepancy is the most important clinical clue to the diagnosis. If, however, this abnormality coexists with another unrelated clinical condition in the course of which cyanosis may occur, it may be mistaken for a sign of a grave complication. An example of such a clinical situation is described in the following report which shows that a person with congenital methemoglobinemia tolerates pregnancy well.

Report of a Case A 27-year-old woman, Gravida 4, Para 3, born in Puerto Rico, was first seen at the University of Illinois prenatal clinic during the eighth month of pregnancy, complaining of slight shortness

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