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Study number 13 described in the Table showed that this effluent colouration produced a false alarm and automatic hemodialysis machine shutdown, which continued for nine days.13,17 Five cases of V-B12 administered for CN toxicity (not included in our analysis) similarly caused false blood leak alarms with pink or purple pigmentation of body fluids.13,17 Although no other major side effects (other than hypertension) are noted, physicians should be aware of less commonly reported effects, including rash, skin reddening, headache, nausea, pruritus, chest discomfort, decreased lymphocytes, and dysphagia.10,14,17 Nurses, support personnel, and family members must be informed that the discolouration of urine and body fluids is expected and not harmful

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