Transient total blindness associated with alcoholic ketoacidosis
Background Methanol poisoning is often suspected in patients with high anion gap metabolic acidosis and visual deficits. Although alcoholic ketoacidosis can cause high anion gap metabolic acidosis, reports on vision loss are limited. We report the case of a patient with alcoholic ketoacidosis with t...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
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| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.660 |
| _version_ | 1819176384416710656 |
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| author | Hiroki Sato Ryoko Kyan Chinami Kamada Mitsunori Kaku Shota Sato Toshihiro Tawara Eiji Sakawaki Sonoko Sakawaki Yoshihiro Takeyama |
| author_facet | Hiroki Sato Ryoko Kyan Chinami Kamada Mitsunori Kaku Shota Sato Toshihiro Tawara Eiji Sakawaki Sonoko Sakawaki Yoshihiro Takeyama |
| author_sort | Hiroki Sato |
| collection | DOAJ |
| description | Background Methanol poisoning is often suspected in patients with high anion gap metabolic acidosis and visual deficits. Although alcoholic ketoacidosis can cause high anion gap metabolic acidosis, reports on vision loss are limited. We report the case of a patient with alcoholic ketoacidosis with transient total blindness. Case Presentation A 56‐year‐old man complaining of total blindness was transferred to our hospital. Physical examination revealed a clear consciousness and mydriasis with an absence of pupillary light reflex. Blood analysis revealed high anion gap metabolic acidosis with a high ketone body concentration. Alcoholic ketoacidosis was diagnosed because the patient had a chronic alcohol abuse history and denied methanol intake. As acidemia improved because of fluid infusion and glucose and vitamin B1 supplementation, his visual acuity recovered. He was discharged after 44 days without visual deficits. Conclusion Patients with alcoholic ketoacidosis may present with acute vision loss, which recovers along with treatment. |
| first_indexed | 2024-12-22T21:09:54Z |
| format | Article |
| id | doaj.art-afd16c212ef340ac82c0f405fbb7bd5e |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-12-22T21:09:54Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-afd16c212ef340ac82c0f405fbb7bd5e2022-12-21T18:12:35ZengWileyAcute Medicine & Surgery2052-88172021-01-0181n/an/a10.1002/ams2.660Transient total blindness associated with alcoholic ketoacidosisHiroki Sato0Ryoko Kyan1Chinami Kamada2Mitsunori Kaku3Shota Sato4Toshihiro Tawara5Eiji Sakawaki6Sonoko Sakawaki7Yoshihiro Takeyama8Department of Emergency Medicine Hakodate Municipal Hospital Hakodate JapanClinical Toxicology Center Saitama Medical University Hospital Saitama JapanDepartment of Emergency Medicine Hakodate Municipal Hospital Hakodate JapanDepartment of Emergency Medicine Hakodate Municipal Hospital Hakodate JapanDepartment of Emergency Medicine Hakodate Municipal Hospital Hakodate JapanDepartment of Emergency Medicine Hakodate Municipal Hospital Hakodate JapanDepartment of Emergency Medicine Hakodate Municipal Hospital Hakodate JapanDepartment of Emergency Medicine Hakodate Municipal Hospital Hakodate JapanDepartment of Emergency Medicine Hakodate Municipal Hospital Hakodate JapanBackground Methanol poisoning is often suspected in patients with high anion gap metabolic acidosis and visual deficits. Although alcoholic ketoacidosis can cause high anion gap metabolic acidosis, reports on vision loss are limited. We report the case of a patient with alcoholic ketoacidosis with transient total blindness. Case Presentation A 56‐year‐old man complaining of total blindness was transferred to our hospital. Physical examination revealed a clear consciousness and mydriasis with an absence of pupillary light reflex. Blood analysis revealed high anion gap metabolic acidosis with a high ketone body concentration. Alcoholic ketoacidosis was diagnosed because the patient had a chronic alcohol abuse history and denied methanol intake. As acidemia improved because of fluid infusion and glucose and vitamin B1 supplementation, his visual acuity recovered. He was discharged after 44 days without visual deficits. Conclusion Patients with alcoholic ketoacidosis may present with acute vision loss, which recovers along with treatment.https://doi.org/10.1002/ams2.660Alcohol abusealcoholic ketoacidosistoxicology/poisoningtransient blindnessvision loss |
| spellingShingle | Hiroki Sato Ryoko Kyan Chinami Kamada Mitsunori Kaku Shota Sato Toshihiro Tawara Eiji Sakawaki Sonoko Sakawaki Yoshihiro Takeyama Transient total blindness associated with alcoholic ketoacidosis Acute Medicine & Surgery Alcohol abuse alcoholic ketoacidosis toxicology/poisoning transient blindness vision loss |
| title | Transient total blindness associated with alcoholic ketoacidosis |
| title_full | Transient total blindness associated with alcoholic ketoacidosis |
| title_fullStr | Transient total blindness associated with alcoholic ketoacidosis |
| title_full_unstemmed | Transient total blindness associated with alcoholic ketoacidosis |
| title_short | Transient total blindness associated with alcoholic ketoacidosis |
| title_sort | transient total blindness associated with alcoholic ketoacidosis |
| topic | Alcohol abuse alcoholic ketoacidosis toxicology/poisoning transient blindness vision loss |
| url | https://doi.org/10.1002/ams2.660 |
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