In a recent retrospective analysis aimed to assist in the differentiation of toxic alcohol ingestion versus alcoholic ketoacidosis, the odds of diagnosing alcohol ketoacidosis compared to toxic alcohol ingestion increased as this increased?
Ethanol level. In univariate analysis, increasing ethanol concentration, increasing anion gap, and older age increased the odds of an AKA diagnosis, while the presence of urine crystals increased the odds of TA ingestion.
Cohen ET et al. Distinguishing between toxic alcohol ingestion vs alcoholic ketoacidosis: how can we tell the difference? Clin Tox 2021; Epub https://doi.org/10.1080/15563650.2020.1865542
Posted in Question Of The Day