Children’s environmental health: a target for all Pediatricians

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Maurizio Mennini
Diletta Valentini
Chiara Di Camillo
Anna Chiara Vittucci
Andrzej Krzysztofiak
Alberto Villani


Methemoglobinemia, Nitrates, Cyanosis, Children, Vitamin C


Methemoglobinemia is caused by a congenital or acquired increase of methemoglobin (MetHb). A 11-months-old child came for episodes of peripheral cyanosis. The only altered exam was MetHb level, but non-pathogenic homozygous mutation of cytochrome B5-reductase gene. Our patient had begun to show cyanosis since the assumption of vegetable broth. Our case report is a warning to investigate the children’s environmental conditions.


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