• Swiss medical weekly · Oct 1993

    Review Case Reports

    [Alcoholic ketoacidosis].

    • C B Caspar, B Risti, P X Iten, R Jost, E W Russi, and R Speich.
    • Departement für Innere Medizin, Universitätsspital Zürich.
    • Swiss Med Wkly. 1993 Oct 16;123(41):1929-34.

    AbstractAlcoholic ketoacidosis (AKA) is an important and probably underdiagnosed differential diagnosis for metabolic acidosis with an increased anion gap. It occurs in patients with prolonged ethanol intake. After a brief period of starvation induced by alcoholic gastritis patients typically present with vomiting, abdominal pain and Kussmaul breathing. Routine testing for urine or serum ketones with ketostix may be negative, since they do not detect beta-hydroxybutyrate and this is characteristically elevated in AKA. We present three cases of AKA and discuss diagnosis, pathophysiology and management of this disorder.

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