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Starvation ketosis in a breastfeeding woman

Monnier, D.; Goulenok, T.; Allary, J.; Zarrouk, V.; Fantin, B.

La Revue de Medecine Interne 36(12): 854-858

2015


ISSN/ISBN: 1768-3122
PMID: 25912080
DOI: 10.1016/j.revmed.2015.03.011
Accession: 058899363

Bovine ketosis is a rare cause of metabolic acidosis. It is a starvation ketosis that appears in lactating woman. A 29-year-old woman had a previous gastric surgery one month ago while breastfeeding her 6-month child. She presented to emergency with dyspnea, fatigue, weight loss and anorexia. The explorations revealed a serious metabolic acidosis with a high anion gap, for which all other causes have been eliminated. A restrictive diet in lactating patients is a major risk of ketosis or bovine ketosis. Medico-surgical treatment of obesity during lactation seems unreasonable. Breastfeeding should be systematically sought before a medical and surgical management of obesity. With the spread of bariatric surgery, starvation ketosis is a cause of metabolic acidosis not to ignore.

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