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

doi:10.4093/jkd.2011.12.4.245

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Kim, Jo, Chang, Jang, Kim, Baek, Song, Lee, and Kwon: A Case of Acetone Intoxication Misdiagnosed as Diabetic Ketoacidosis

Original Articles & Case Reports

J Korean Diabetes 2011;12(4):245-247.

Published online: 22 January 2011

DOI: https://doi.org/10.4093/jkd.2011.12.4.245

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

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Diabetic ketoacidosis, Acetone intoxication, Acidosis

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