D. S. FRALEY, M.D.; S. ADLER, M.D.; F. BRUNS, M.D.; D. SEGAL, M.D.
A 29-year-old woman with short bowel syndrome and prolonged starvation developed hyperchloremic metabolic acidosis after initiation of hyperalimentation with a casein hydrolysate solution. The acidosis was not due to bicarbonate loss but was associated with diminished ability of the kidney to increase urinary acid excretion, particularly titratable acidity. Supplemental parenteral bicarbonate administration was necessary for two weeks until urinary acid excretion rose to normal.
D. S. FRALEY, S. ADLER, F. BRUNS, D. SEGAL. Metabolic Acidosis after Hyperalimentation with Casein Hydrolysate: Occurrence in a Starved Patient. Ann Intern Med. 1978;88:352–354. doi: 10.7326/0003-4819-88-3-352
Download citation file:
Published: Ann Intern Med. 1978;88(3):352-354.
Endocrine and Metabolism.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use