At the time this article was written, Michelle J. Hong was a student in the University of South Florida's Morsani College of Medicine in Tampa, Fla. Lauren E. Schwartz, Hillary H. Ward, and Jason C. Morgan practice in the Department of Emergency and Hospital Medicine at Lehigh Valley Health Network in Bethlehem, Pa. Jeanne L. Jacoby is an attending physician and associate research director in the Department of Emergency and Hospital Medicine at Lehigh Valley Health Network and a clinical associate professor of medicine at the University of South Florida. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2021 Dec 1;34(12):31-33. doi: 10.1097/01.JAA.0000800304.52410.9c.
This article describes a rare case of lactation ketoacidosis in a patient who started a ketogenic diet while nursing an infant and toddler. The patient presented to the ED with a history of nausea, vomiting, and postural dizziness, and was found to have a significant metabolic acidosis and elevated lipase level. The metabolic changes induced in this patient could occur in anyone with high metabolic demands who also is on a strict ketogenic diet. The case highlights the importance of a dietary history in patients with unexplained metabolic derangements.
这篇文章描述了一例罕见的哺乳期酮症酸中毒病例，患者在哺乳婴儿和幼儿期间开始生酮饮食。该患者因恶心、呕吐和体位性头晕就诊于急诊，并被发现存在显著的代谢性酸中毒和升高的脂肪酶水平。这种患者代谢变化可能发生在任何代谢需求高且严格遵循生酮饮食的人身上。该病例强调了在不明原因代谢紊乱患者中询问饮食史的重要性。
