A Case of Acetone Intoxication Misdiagnosed as Diabetic Ketoacidosis.

Kim,  Na Young; Jo,  Ik Hyun; Chang,  Su Sun; Jang,  Eun Hee; Kim,  Mee Kyoung; Baek,  Ki Hyun; Song,  Ki Ho; Lee,  Kwang Woo; Kwon,  Hyuk Sang

doi:2011.12.4.245

J Korean Diabetes > Volume 12(4); 2011 > Article

Case Report

The Journal of Korean Diabetes 2011;12(4):245-247.
DOI: https://doi.org/10.4093/kcd.2011.12.4.245 Published online December 1, 2011.

당뇨병성 케톤산증으로 오인된 아세톤 중독 1예

김나영, 조익현, 장수선, 장은희, 김미경, 백기현, 송기호, 이광우, 권혁상

A Case of Acetone Intoxication Misdiagnosed as Diabetic Ketoacidosis.

Na Young Kim, Ik Hyun Jo, Su Sun Chang, Eun Hee Jang, Mee Kyoung Kim, Ki Hyun Baek, Ki Ho Song, Kwang Woo Lee, Hyuk Sang Kwon

Division of Endocrinology and Metabolism, Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea. drkwon@catholic.ac.kr

Abstract

Diabetic ketoacidosis (DKA) is one of the most serious acute metabolic complications of diabetes. The triad of uncontrolled hyperglycemia, metabolic acidosis, and increased total body ketone concentration characterizes DKA. Not all patients with ketoacidosis have DKA, and other situations can result in metabolic acidosis and ketonemia, like starvation ketosis, alcoholic ketoacidosis or ingestion of drugs such as salicylate, methanol, ethylene glycol. We report a case of acetone intoxication that was misdiagnosed as diabetic ketoacidosis.

Key Words: Diabetic ketoacidosis, Acetone intoxication, Acidosis