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His shoes appeared to have been recently painted, which raised the suspicion of methaemoglobinaemia, presumptively caused by aniline-containing shoe dye. The shoes were removed promptly and his feet washed profusely. After confirming the diagnosis, methylene blue was started. The level of methaemoglobin decreased rapidly and the boy made a full recovery.<\/jats:p>","DOI":"10.1136\/bcr-2015-210619","type":"journal-article","created":{"date-parts":[[2015,9,3]],"date-time":"2015-09-03T10:33:00Z","timestamp":1441276380000},"page":"bcr2015210619","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["The painted shoes"],"prefix":"10.1136","volume":"2015","author":[{"given":"Nat\u00e1lia","family":"Noronha","sequence":"first","affiliation":[{"name":"Hospital Pedi\u00e1trico de Coimbra, Coimbra, Aveiro, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"Rosa Alexandre","sequence":"additional","affiliation":[{"name":"Hospital da Luz, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Cavaca Santos","sequence":"additional","affiliation":[{"name":"Hospital Pedi\u00e1trico de Coimbra, Coimbra, Aveiro, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Emergency Department and Infectious Disease Service, Hospital Pedi\u00e1trico, Centro Hospitalar Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,9,3]]},"reference":[{"key":"2025082804022961000_2015.sep03_1.bcr2015210619.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(70)80024-5"},{"key":"2025082804022961000_2015.sep03_1.bcr2015210619.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2014.03.019"},{"key":"2025082804022961000_2015.sep03_1.bcr2015210619.3","doi-asserted-by":"crossref","first-page":"pii:bcr1220115383","DOI":"10.1136\/bcr.12.2011.5383","article-title":"Acute life-threatening methaemoglobinaemia following ingestion of chloroquine","volume":"2012","author":"Rizvi","year":"2012","journal-title":"BMJ Case Rep"},{"key":"2025082804022961000_2015.sep03_1.bcr2015210619.4","first-page":"49","article-title":"Sudden onset methaemoglobinaemia in a previously well Ugandan child: a case report and literature review","volume":"11","author":"Nabukeera-Barungi","year":"2012","journal-title":"Pan Afr Med J"},{"key":"2025082804022961000_2015.sep03_1.bcr2015210619.5","doi-asserted-by":"publisher","DOI":"10.1186\/2052-4374-25-31"},{"key":"2025082804022961000_2015.sep03_1.bcr2015210619.6","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1053\/j.jvca.2013.02.005","article-title":"Methemoglobinemia: a review and recommendations for management","volume":"28","author":"Cortazzo","year":"2014","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2025082804022961000_2015.sep03_1.bcr2015210619.7","doi-asserted-by":"publisher","DOI":"10.12816\/0003120"}],"updated-by":[{"DOI":"10.1136\/bcr-2015-210619corr1","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2015,11,9]],"date-time":"2015-11-09T00:00:00Z","timestamp":1447027200000}}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210619","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:02:40Z","timestamp":1756378960000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210619"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,3]]},"references-count":7,"alternative-id":["10.1136\/bcr-2015-210619"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210619","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,3]]}}}