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4949088 
Journal Article 
Letter 
Massive dipropylene glycol toxicity is very similar in presentation to cases of diethylene glycol toxicity 
LoVecchio, F 
2009 
Yes 
American Journal of Emergency Medicine
ISSN: 0735-6757
EISSN: 1532-8171 
27 
1 
123-123 
English 
WOS:000261821200023 
To the Editor,
We agree with the comments by Dr Marraffa that our patient with dipropylene glycol (DPG) toxicity is very similar is presentation to cases of diethylene glycol (DEG) toxicity. We agree that DEG toxicity should be in the differential diagnosis in this patient and others with acute renal failure due to cortical necrosis and demyelinating sensorimotor peripheral polyneuropathy. We were somewhat surprised as to the toxicity that had arisen from DPG ingestion in our patient. We feel that in animal studies with massive ingestions, DPG presents a similar scenario. We were able to check with the manufacturer and learned that DEG was not a component of the solution of the fog-making solution.
Frank LoVecchio MD, DO, MPH 
OPPT
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