Methemoglobinemia is an acute and potentially life-threatening condition. It can be congenital but more often acquired. Suspected the diagnosis of this condition is straight forward. In methemoglobinemia red cells are unable to carry oxygen, because the iron of the heme is oxidised from Fe2+ to Fe3+. Symptoms are depended on the level of methemoglobinemia. Intravenous methylene blue is the treatment of choice.
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