Medhat Girgis, M.D.; Judith Duga, M.D.; Leonard J. Levy, M.D.; Edwin E. Gordon, M.D.
This content is PDF only. Please click on the PDF icon to access.
The accumulation of ketone bodies in the plasma of nondiabetic patients is rarely of sufficient magnitude to result in metabolic acidosis. Five episodes of severe ketoacidosis (mean arterial pH, 7.15; range, 6.96 to 7.29) have been documented in four patients with a history of chronic alcoholism, but without diabetes or a family history of diabetes mellitus. A history of significant alcohol intake accompanied by protracted vomiting for several days prior to hospital admission was elicited in each patient. When first seen, all patients exhibited rapid or Kussmaul respirations without an acetone odor to the breath. In addition to the depressed
Girgis M, Duga J, Levy LJ, Gordon EE. Nondiabetic Ketoacidosis: A Complication of Alcoholism.. Ann Intern Med. ;76:857–858. doi: 10.7326/0003-4819-76-5-857_5
Download citation file:
Published: Ann Intern Med. 1972;76(5):857-858.
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use