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KALA PATHAR (PARAPHENYLENE DIAMINE): A FORENSIC PERSPECTIVE FROM LIAQUAT UNIVERSITY HOSPITAL HYDERABAD, SINDH, PAKISTAN

Dr. Abdul Samad, Dr. Ejaz Ahmed Awan, Dr. Jamshed ul Qadir, Dr Ijaz Aziz, Dr Ghulam Muhayudin, Dr. Mashooque Ali

Kala Pathar a local name of Paraphenylene-diamine which is an agent used in coloring dyes but also known for its toxicity that promotes its use as a tool for suicide as it is cheaper as well as easily and frequently available. This chemical agent affects all body organs including liver, heart, kidney, lungs, muscles and ultimately leads to death if left untreated. This research was conducted on 20 poisoning cases presenting to LUH (Liaquat University Hospital) Hyderabad, Sindh, Pakistan. We observed 16 females and 4 males out of which married were 15 and unmarried were 5. Mostly subjects were from low socio-economic status 18 and the presentation was suicidal 19(95%) and accidental in 1(5%) cases. Different presentations were seen like Hemodynamically unstable patients (Shock), Oliguria, Anuria, throat pain, Dark urine and Rhabdomyolysis. Tracheostomy and ventilatory support could only save 12 patients while 8 patients died in a span of one week. Conclusion: The kala Pathar poisoning is most common in poor, young, females specially married ones with high mortality rate. Key Words: Forensic, Poisoning, Kala Pathar, Suicidal, Tracheostomy,

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