Fillers A patient who intrigued me

Ceremonial haemoglobinuria

BMJ 1998; 317 doi: http://dx.doi.org/10.1136/bmj.317.7151.153 (Published 11 July 1998) Cite this as: BMJ 1998;317:153
  1. Brian McConkey, honorary consultant physician
  1. Birmingham

    A fit young infantry officer told me that he had passed deep red urine. It was only on one occasion—the Lord Mayor's Show, London, 1949. Confident that this was march haemoglobinuria I gave him some containers and asked for urine samples before, at about half time, and after his next hard march. This turned out to be quite soon and the urine samples he then brought in looked normal; none contained methaemoglobin.

    We discussed the matter and he made the point that the difference between usual marches and the Lord Mayor's Show was the ceremonial aspect. There was a sense …

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