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Article Synopsis
  • - Methemoglobinemia is a condition where hemoglobin is oxidized, preventing it from binding oxygen, leading to symptoms like cyanosis and potential heart failure; it can be congenital or acquired, with the congenital form being rare.
  • - A case study of a 22-year-old man with congenital methemoglobinemia demonstrated the need for careful perioperative management during dental surgery, including avoiding certain anesthetics and ensuring appropriate oxygenation levels.
  • - Effective management of congenital methemoglobinemia during surgery requires preoperative assessment, multidisciplinary care, avoidance of oxidizing agents, and strategies to maintain the patient's oxygenation and cardiovascular stability.
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A novel stoploss mutation CYB5R3 c.906A>G(p.*302Trpext*42) involved in the pathogenesis of hereditary methemoglobinemia.

Clin Chim Acta

January 2025

Department of Traditional Chinese Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou 350001, China; Department of Hematology, Fujian Provincial Hospital, Fuzhou 350001, China. Electronic address:

Recessive congenital methemoglobinemia (RCM) is a hereditary autosomal disorder with an extremely low incidence rate. Here, we report a case of methemoglobinemia type I in a patient with congenital persistent cyanosis. The condition was attributed to a novel compound heterozygous mutation in CYB5R3, characterized by elevated methemoglobin levels (13.

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