{
  "abstract": "Methaemoglobinaemia is a rare disorder due to an increase in the amount of a variant of haemoglobin known as methaemoglobin (MetHb), which decreases the oxygen-carrying capacity of blood. It is usually caused by enzyme deficiency. Hb Q India is another rare alpha-chain variant haemoglobinopathy. A young primigravida was referred due to low oxygen saturation. She was otherwise asymptomatic. Patient was received with peripheral cyanosis and in a tachypneic state due to advanced labour. On the pulse oximeter, oxygen saturation was found to be 40%; hence, the patient was immediately intubated, and instrumental delivery was conducted. A detailed workup showed high MetHb levels, and the Hb Q India variant was detected on HPLC. We present this case report of dual haemoglobinopathy, which can pose a great diagnostic dilemma.Methaemoglobinaemia is usually an asymptomatic disease and is managed conservatively, but if symptomatic, it requires intensive management to avoid fatality.",
  "authors": [
    {
      "affiliations": [
        "Obstetrics and Gynecology, Maharishi Markandeshwar Medical College and Hospital, Solan, HP, India"
      ],
      "name": "Krishma Thakur"
    },
    {
      "affiliations": [
        "GMCH, Chandigarh, Punjab, India"
      ],
      "name": "Mohit Satodiya"
    },
    {
      "affiliations": [
        "GMCH, Chandigarh, Punjab, India"
      ],
      "name": "Dilpreet Kaur Pandher"
    },
    {
      "affiliations": [
        "GMCH, Chandigarh, Punjab, India"
      ],
      "name": "Navneet Takkar"
    }
  ],
  "title": "The blue dilemma: a rare presentation of dual hemoglobinopathy in a pregnant patient",
  "uid": "170f5e58-90fe-5c8f-ad32-41eebe23c12d"
}