An interesting gastro-intestinal syndrome
Non-diabetic acetonæmia is not uncommon, and is associated usually with vomiting, abdominal discomfort, and anorexia; and is readily controlled by treatment with glucose, insulin, and adrenalin.
During the treatment one must not be misled by symptoms which may be due to hypoglycæmic reactions, following the insulin injections.
Evidently there must be a rather rapid burning of the body fat, in the absence of carbohydrate ingestion, before acetonæmia will result.
Pyrexia is not caused by acetonæmia. It is hoped to ascertain, with further cases, whether or not non-diabetic acetonæmia causes a leukocytosis.
In some cases, such as exophthalmic goitre crises, it is more urgent to treat the hyperthyroidism than the acetonæmia.
It may be that the intravenous use of sodium bisulphate will be even more effective treatment.
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