Alcoholic ketoacidosis presenting as diabetic ketoacidosis

D. Smith; D. Kelly; A. Daly; J. Hollingsworth; C. Thompson

doi:10.1007/bf02945850

Alcoholic ketoacidosis presenting as diabetic ketoacidosis

Irish Journal of Medical Science (1971 -) ◽

10.1007/bf02945850 ◽

1999 ◽

Vol 168 (3) ◽

pp. 186-188 ◽

Cited By ~ 3

Author(s):

D. Smith ◽

D. Kelly ◽

A. Daly ◽

J. Hollingsworth ◽

C. Thompson

Keyword(s):

Diabetic Ketoacidosis ◽

Alcoholic Ketoacidosis

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Abstract #826: Alcoholic Ketoacidosis Masquerading as Diabetic Ketoacidosis

Endocrine Practice ◽

10.1016/s1530-891x(20)45160-2 ◽

2016 ◽

Vol 22 ◽

pp. 174

Author(s):

Jared Benz ◽

Dale Lent

Keyword(s):

Diabetic Ketoacidosis ◽

Alcoholic Ketoacidosis

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Investigation of markers to indicate and distinguish death due to Alcoholic Ketoacidosis, Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State using post-mortem samples

Forensic Science International ◽

10.1016/j.forsciint.2011.07.040 ◽

2012 ◽

Vol 214 (1-3) ◽

pp. 142-147 ◽

Cited By ~ 42

Author(s):

Joanna Hockenhull ◽

Waljit Dhillo ◽

Rebecca Andrews ◽

Sue Paterson

Keyword(s):

Diabetic Ketoacidosis ◽

Post Mortem ◽

Hyperosmolar Hyperglycemic State ◽

Alcoholic Ketoacidosis

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Non-diabetic ketoacidosis: a case series and literature review

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2020-138513 ◽

2020 ◽

pp. postgradmedj-2020-138513

Author(s):

Bilal Bashir ◽

Ahmed A Fahmy ◽

Farheen Raza ◽

Moulinath Banerjee

Keyword(s):

Diabetic Ketoacidosis ◽

Ketone Bodies ◽

Case Series ◽

Nutrient Deficiency ◽

The Body ◽

Protective Mechanism ◽

Mortality And Morbidity ◽

Shallow Breathing ◽

Life Threatening ◽

Alcoholic Ketoacidosis

The genesis of ketone bodies by organisms is a protective mechanism. This metabolic process helps organisms to survive acute metabolic derangements in times of nutrient deficiency. When prolonged, ketogenesis leads to ketoacidosis, which is a potentially life-threatening metabolic disorder due to the accumulation of keto-acids in the body. The most common cause is diabetic ketoacidosis, though starvation ketoacidosis and alcoholic ketoacidosis are not uncommon. The presentation of all ketoacidotic states is similar—being generally unwell, abdominal pain, rapid and shallow breathing, vomiting and dehydration. Non-diabetic ketoacidotic states are very commonly overlooked due to relative unawareness among the clinicians, leading to misdiagnosis and thereby inappropriate management culminating in added mortality and morbidity. We describe here six cases of alcoholic and starvation ketoacidosis, review the literature currently available and discuss the common pitfalls in managing such cases.

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