L'acidocétose alcoolique: une cause d'acidose métabolique pas si rare que ça.. [Alcoholic ketoacidosis: not rare cause of metabolic acidosis]

Details

Serval ID
serval:BIB_36975
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
L'acidocétose alcoolique: une cause d'acidose métabolique pas si rare que ça.. [Alcoholic ketoacidosis: not rare cause of metabolic acidosis]
Journal
Revue Médicale Suisse
Author(s)
Sibaï K., Eggimann P.
ISSN
1660-9379
Publication state
Published
Issued date
2005
Volume
1
Number
32
Pages
2106, 2108-10, 2112-2115
Language
french
Abstract
Alcoholic ketoacidosis is an often overlooked disorder, which affects chronic ethanol abusers who have usually had a binge culminating in severe vomiting with resulting hypovolemia, acute starvation and then a beta-hydroxybutyrate dominated ketoacidosis (due to the conjonction of enhanced Glucagon/Insuline and NADH/NAD ratios). Although the pathophysiology is complex, the syndrome is quickly reversible with the administration of saline and glucose solutions along with the correction of electrolyte disturbances, often unmasked during the treatment. Insuline and bicarbonates are not indicated. The prognosis, which is excellent, depends mainly on the coexisting acute disorders, which should be purchased and treated appropriately.
Keywords
Acidosis/diagnosis, Acidosis/etiology, Alcoholism/complications, Diagnosis, Differential, Humans, Ketosis/diagnosis, Ketosis/etiology
Pubmed
Create date
19/11/2007 12:35
Last modification date
20/08/2019 13:24
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