GARY PETERSEN, M.D.
To the editor: The interesting association of ketoacidosis and alcoholism deserves further emphasis (Levy and colleagues; Ann Intern Med 78:213-219, 1973). During 3 years as a house officer at a county hospital (Harbor General Hospital, Torrance, California) I saw a total of 13 documented episodes in 6 different patients similar to those described by Dr. Levy. Since I saw only a small fraction of the patients at that hospital, I would think that this syndrome occurs frequently in alcoholic patients but is infrequently recognized.
Two associated problems, not mentioned in the report, should also be noted. Marked hypophosphatemia (less than
PETERSEN G. Alcoholism and Ketoacidosis. Ann Intern Med. ;78:983–984. doi: 10.7326/0003-4819-78-6-983
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Published: Ann Intern Med. 1973;78(6):983-984.
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