Henna-induced Hemolysis and Acute Kidney Injury in an 85-year-old Man; a Case Report

Henna is a commonly used traditional cosmetic agent, which also holds medical potentials and is used to treatskin lesions including seborrheic dermatitis or fungal infections and also has possible anti-inflammatory ef-fects. It contains lawsone (2-hydroxy-1,4-naphthoquinone) and, therefore, has the potential to induce oxidativehemolysis. Henna-induced hemolysis has been previously reported in children with Glucose 6-Phosphate Dehy-drogenase Deficiency. Here, we report an 85-year-old man who developed hemolytic anemia and acute kidneyinjury following oral consumption of henna to help his dyspnea. He was treated with hydration, bicarbonate,and dexamethasone. Over the course of hospitalization, the patient developed ventilator-associated pneumo-nia and was treated with antibiotic. He was discharged after one month. This finding is of high importance dueto common use of henna, especially among people with false beliefs regarding traditional and herbal medicine,and highlights the role of a full history taking.