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Previous Volume 330:1907-1908 June 30, 1994 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The acetaminophen treatment nomogram is widely used as a guideline for acetylcysteine therapy in patients with an acetaminophen overdose¹. However, the potential toxicity of acetaminophen may be underestimated by the nomogram in patients with underlying hepatic dysfunction or long-term alcohol use².

We recently treated a 21-year-old woman who had attempted suicide by ingesting 25 g of acetaminophen. She had no history of any hepatic abnormality but had consumed large amounts of ethanol for a long period. She presented to her local hospital three hours after ingestion of the acetaminophen. The serum acetaminophen level was 151 . . . [Full Text of this Article]

References

Related Letters:

Acetaminophen Poisoning and Liver Function
Smilkstein M. J., Douglas D. R., Daya M. R., Davie A., Whitcomb D. C., Cheung L., Meyer K. C.
Extract | Full Text  
N Engl J Med 1994; 331:1310-1312, Nov 10, 1994. Correspondence

This article has been cited by other articles:

• Smilkstein, M. J., Douglas, D. R., Daya, M. R., Davie, A., Whitcomb, D. C., Cheung, L., Meyer, K. C. (1994). Acetaminophen Poisoning and Liver Function. NEJM 331: 1310-1312 [Full Text]