Alcoholism and Ketoacidosis
Authors: GARY PETERSEN
Journal: Annals of Internal Medicine (1973)

Comments and Corrections1 June 1973Alcoholism and KetoacidosisGARY PETERSEN, M.D.GARY PETERSEN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-78-6-983 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo 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...Reference1. JACOBAMSDEN HT: Acute hemolytic anemia with rigid red cells in hypophosphatemia. N Engl J Med 285:1446-1450, 1971 CrossrefMedlineGoogle Scholar1. LIEBERSCHMID CR: The effect of ethanol on fatty acid metabolism: stimulation of hepatic fatty acid synthesis in vitro. J Clin Invest 40:394-399, 1961 CrossrefMedlineGoogle Scholar2. LIEBER C: Alcohol and the Liver, the Biological Basis of Medicine, vol. 5, edited by BITTAR EE. London, Academic Press, Ltd., 1969, pp. 317-344 Google Scholar3. LIEBERLEFEVRESPRITZ CAN: Difference in hepatic metabolism of long and medium chain fatty acids: the role of fatty acid chain length in the production of the alcoholic fatty liver. J Clin Invest 46:1451-1460, 1967 CrossrefMedlineGoogle Scholar1. HAWKINSKALANT RH: The metabolism of ethanol and its metabolic effects. Pharmacol Rev 24:67-157, 1972 MedlineGoogle Scholar2. OLIVA P: Lactic acidosis. Am J Med 48:209-225, 1970 CrossrefMedlineGoogle Scholar3. KRIESBERGOWENSIEGAL RWA: Ethanol-induced hyperlacticacidemia: inhibition of lactate utilization. J Clin Invest 50:166-174, 1971 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: GARY PETERSEN, M.D.Affiliations: Division of Cardiology The University of Utah Medical Center Salt Lake City, Utah PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAlcoholic KetoacidosisAlcoholic ketoacidosis associated with hyperglycaemia: A diagnostic dilemmaThe syndrome of alcoholic ketoacidosisAlcoholic KetoacidosisAlcoholic Ketoacidosis: A Case ReportAlcoholic ketoacidosis—A reviewAlcoholic ketoacidosisAlcoholic ketoacidosis: an underdiagnosed condition?7Alcoholic ketoacidosis: Clinical and laboratory presentation, pathophysiology and treatmentAlcoholic ketoacidosis in a pregnant womanProfiles in altered metabolism. I—The organic acids accumulating in acute non-diabetic ketoacidosis associated with alcoholism 1 June 1973Volume 78, Issue 6Page: 983-984KeywordsAlcoholicsAlcoholism ePublished: 1 December 2008 Issue Published: 1 June 1973 PDF downloadLoading ...