Lactation Ketoacidosis

A case series

Abdullah M. Al Alawi, Usama Al Amri, Henrik Falhammar

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Lactation ketoacidosis is an extremely rare type of high anion gap metabolic acidosis. We report two lactating women who were diagnosed with lactation ketoacidosis. The first patient presented to the Emergency Department at Royal Darwin Hospital, Darwin, Australia, in 2018 with lethargy, nausea and abdominal pain after she commenced a new diet regimen based on three meals of protein per day and free of glucose, gluten and dairy products. The second patient presented to the Emergency Department at Sultan Qaboos University Hospital, Muscat, Oman, in 2018 with headache, severe malaise, epigastric pain and worsening of gastroesophageal symptoms. Blood investigation results showed that both patients had high anion gap metabolic acidosis, ketosis and hypoglycaemia. The patients responded well to intravenous dextrose and resumption of a balanced diet. Both patients were able to continue breastfeeding and remained well on follow-up.

    Original languageEnglish
    Pages (from-to)e359-e363
    Number of pages5
    JournalSultan Qaboos University Medical Journal
    Volume19
    Issue number4
    DOIs
    Publication statusPublished - 1 Nov 2019

    Fingerprint

    Ketosis
    Lactation
    Acid-Base Equilibrium
    Acidosis
    Hospital Emergency Service
    Oman
    Diet
    Glucose
    Lethargy
    Dairy Products
    Glutens
    Breast Feeding
    Hypoglycemia
    Nausea
    Abdominal Pain
    Headache
    Meals
    Pain
    Proteins

    Cite this

    Al Alawi, Abdullah M. ; Al Amri, Usama ; Falhammar, Henrik. / Lactation Ketoacidosis : A case series. In: Sultan Qaboos University Medical Journal. 2019 ; Vol. 19, No. 4. pp. e359-e363.
    @article{59668f72b80e4353a4ac6e800e2a0609,
    title = "Lactation Ketoacidosis: A case series",
    abstract = "Lactation ketoacidosis is an extremely rare type of high anion gap metabolic acidosis. We report two lactating women who were diagnosed with lactation ketoacidosis. The first patient presented to the Emergency Department at Royal Darwin Hospital, Darwin, Australia, in 2018 with lethargy, nausea and abdominal pain after she commenced a new diet regimen based on three meals of protein per day and free of glucose, gluten and dairy products. The second patient presented to the Emergency Department at Sultan Qaboos University Hospital, Muscat, Oman, in 2018 with headache, severe malaise, epigastric pain and worsening of gastroesophageal symptoms. Blood investigation results showed that both patients had high anion gap metabolic acidosis, ketosis and hypoglycaemia. The patients responded well to intravenous dextrose and resumption of a balanced diet. Both patients were able to continue breastfeeding and remained well on follow-up.",
    keywords = "Acid-Base Imbalance, Australia, Breastfeeding, Case Series, Fasting, Hypoglycemia, Ketone Bodies, Ketosis, Metabolic Diseases, Oman, Starvation",
    author = "{Al Alawi}, {Abdullah M.} and {Al Amri}, Usama and Henrik Falhammar",
    year = "2019",
    month = "11",
    day = "1",
    doi = "10.18295/squmj.2019.19.04.012",
    language = "English",
    volume = "19",
    pages = "e359--e363",
    journal = "Sultan Qaboos University Medical Journal",
    issn = "2075-051X",
    publisher = "Sultan Qaboos University",
    number = "4",

    }

    Al Alawi, AM, Al Amri, U & Falhammar, H 2019, 'Lactation Ketoacidosis: A case series', Sultan Qaboos University Medical Journal, vol. 19, no. 4, pp. e359-e363. https://doi.org/10.18295/squmj.2019.19.04.012

    Lactation Ketoacidosis : A case series. / Al Alawi, Abdullah M.; Al Amri, Usama; Falhammar, Henrik.

    In: Sultan Qaboos University Medical Journal, Vol. 19, No. 4, 01.11.2019, p. e359-e363.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Lactation Ketoacidosis

    T2 - A case series

    AU - Al Alawi, Abdullah M.

    AU - Al Amri, Usama

    AU - Falhammar, Henrik

    PY - 2019/11/1

    Y1 - 2019/11/1

    N2 - Lactation ketoacidosis is an extremely rare type of high anion gap metabolic acidosis. We report two lactating women who were diagnosed with lactation ketoacidosis. The first patient presented to the Emergency Department at Royal Darwin Hospital, Darwin, Australia, in 2018 with lethargy, nausea and abdominal pain after she commenced a new diet regimen based on three meals of protein per day and free of glucose, gluten and dairy products. The second patient presented to the Emergency Department at Sultan Qaboos University Hospital, Muscat, Oman, in 2018 with headache, severe malaise, epigastric pain and worsening of gastroesophageal symptoms. Blood investigation results showed that both patients had high anion gap metabolic acidosis, ketosis and hypoglycaemia. The patients responded well to intravenous dextrose and resumption of a balanced diet. Both patients were able to continue breastfeeding and remained well on follow-up.

    AB - Lactation ketoacidosis is an extremely rare type of high anion gap metabolic acidosis. We report two lactating women who were diagnosed with lactation ketoacidosis. The first patient presented to the Emergency Department at Royal Darwin Hospital, Darwin, Australia, in 2018 with lethargy, nausea and abdominal pain after she commenced a new diet regimen based on three meals of protein per day and free of glucose, gluten and dairy products. The second patient presented to the Emergency Department at Sultan Qaboos University Hospital, Muscat, Oman, in 2018 with headache, severe malaise, epigastric pain and worsening of gastroesophageal symptoms. Blood investigation results showed that both patients had high anion gap metabolic acidosis, ketosis and hypoglycaemia. The patients responded well to intravenous dextrose and resumption of a balanced diet. Both patients were able to continue breastfeeding and remained well on follow-up.

    KW - Acid-Base Imbalance

    KW - Australia

    KW - Breastfeeding

    KW - Case Series

    KW - Fasting

    KW - Hypoglycemia

    KW - Ketone Bodies

    KW - Ketosis

    KW - Metabolic Diseases

    KW - Oman

    KW - Starvation

    UR - http://www.scopus.com/inward/record.url?scp=85077442388&partnerID=8YFLogxK

    U2 - 10.18295/squmj.2019.19.04.012

    DO - 10.18295/squmj.2019.19.04.012

    M3 - Article

    VL - 19

    SP - e359-e363

    JO - Sultan Qaboos University Medical Journal

    JF - Sultan Qaboos University Medical Journal

    SN - 2075-051X

    IS - 4

    ER -