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Non-diabetic ketoacidosis: A case series and literature review

29/10/2021

1 Comment

 
Author(s) Bashir B.; Banerjee M.; Fahmy A.A.; Raza F.
Source Postgraduate Medical Journal; Oct 2021; vol. 97 (no. 1152); p. 667-671
Language English
Publication Date Oct 2021
DOI 10.1136/postgradmedj-2020-138513
ISSN 0032-5473
Database EMBASE
Abstract
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.
  • Available in full text at Postgraduate medical journal from BMJ Journals - NHS
1 Comment
Notch Tattooing link
25/4/2022 12:57:04 pm

Tattoos are used to express your individuality. However, you need to know if you have diabetes or not before you decide to get a tattoo. A non-diabetic tattoo is very different from a tattoo for diabetics. You need to think about the causes of diabetes, its symptoms and its complications.

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