Alcoholic ketoacidosis associated with multiple complications: Report of 3 cases

Masami Tanaka, Yasushi Miyazaki, Shinsuke Ishikawa, Kimihiko Matsuyama

研究成果: Article査読

26 被引用数 (Scopus)

抄録

We report 3 patients with alcoholic ketoacidosis (AKA). All had a history of excessive intake and abrupt termination of alcohol. They showed tachypnea, tachycardia, abdominal tenderness, and epigastralgia. Metabolic acidosis with an increased anion gap, decreased PaCO2 and ketonemia were present. One patient whose ratio of 3-hydroxybutyric acid to acetoacetic acid was 4.0 was associated with diabetic ketoacidosis. All patients were successfully hydrated with electrolyte, glucose and thiamine. Complications such as liver dysfunction, lactic acidosis, acute pancreatitis, Wernicke's encephalopathy, rhabdomyolysis and heart failure were present. Attention should be paid to multiple complications in the treatment of AKA.

本文言語English
ページ(範囲)955-959
ページ数5
ジャーナルInternal Medicine
43
10
DOI
出版ステータスPublished - 2004 10月
外部発表はい

ASJC Scopus subject areas

  • 内科学

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