Non-diabetic ketoacidosis: A case of alcoholic ketoacidosis accompanied by hyperglycemia
| Autor: | Jiali Wu, Heng Li, Zhufang Tian, Yazhuo Chen, Xiangshan Li, Jiaojiao Liu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Diabetic ketoacidosis Missed Diagnosis Nausea business.industry Metabolic acidosis General Medicine Ketosis medicine.disease Hemoconcentration Ketoacidosis Diabetic Ketoacidosis Alcoholism Emergency Medicine medicine Vomiting Humans Female medicine.symptom business Acidosis |
| Zdroj: | The American journal of emergency medicine. 52 |
| ISSN: | 1532-8171 |
| Popis: | Alcoholic ketoacidosis (AKA) lacks specific clinical presentation. The results of blood testing commonly show hemoconcentration, elevated β-hydroxybutyrate levels, and acidosis in patients with AKA. Herein, we report a case of AKA accompanied by hyperglycemia and review the related literature. Case report: AKA associated with hyperglycemia is rare, and its pathogenesis is similar to that of diabetic ketoacidosis, thereby making differentiation challenging. Accordingly, AKA is easily misdiagnosed by endocrinologists. The main symptoms of a 37-year-old female included hyperglycemia, elevated β-hydroxybutyrate levels, and metabolic acidosis. Primary clinical presentations were severe nausea and vomiting. The patient initially diagnosed with DKA were eventually confirmed as AKA, who recovered after active therapy with rehydration and correction of hyperglycemia, electrolyte imbalance, and ketosis. This study provides a reference for clinicians to reduce missed diagnosis and the misdiagnosis rates of AKA. |
| Databáze: | OpenAIRE |
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