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
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PETERSEN G. Alcoholism and Ketoacidosis. Ann Intern Med. 1973;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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