Increasing reporting of the public health danger posed by this drug of abuse is noted in the literature, including a similar case to ours published by O'Gorman et al. (2024), where amyl nitrite ingestion by a 39-year-old led to cyanosis and altered consciousness that was conservatively managed with just high flow oxygen therapy alone and a fall in measured methemoglobin level from 37.6% to 3% by the fourth hour [2]. Here, HBG2 is linked to Abnormality of the skin.