在青少年中,烯糖醇的毒性是由于慢性玉米摄入的次要原因
Kristen Downey1, Ryan Keklik2, Benjamin Morrissey2
1Texas A&M School of Medicine Dallas Texas USA.
概括
过度食用玉米粉可能导致烯基醇毒性,导致乳酸和器官衰竭. 早期诊断和使用福梅皮治疗对于从这种食品添加剂中毒中恢复至关重要.
科学领域:
- 毒理学 毒理学 毒理学
- 内部医学 内部医学
- 紧急医疗 紧急医疗
背景情况:
- 二醇 (PG) 是一种常见的食品添加剂.
- 大剂量的PG可以导致乳酸性酸性,高度和毒症状综合征.
- 无法解释的代谢酸可能表明PG毒性.
研究的目的:
- 报告一种因摄入过多的玉米粉而引起的烯基醇毒性病例.
- 强调饮食史在诊断毒性摄入时的重要性.
- 为了突出福梅皮在治疗PG毒性的有效性.
主要方法:
- 一个17岁的女性患有慢性症状的病例报告.
- 实验室分析显示了高阴离子间隙代谢酸化症 (HAGMA).
- 由于最初的毒理学查结果是负面的,导致诊断的挑战.
主要成果:
- 患者入院多系统器官衰竭二次的PG毒性.
- 证实了高离子间隙 (18mEq/L) 和乳酸性酸化.
- 用福梅皮佐尔成功治疗和持续的替代疗法.
结论:
- 详细的饮食史对于诊断无法解释的HAGMA或乳酸性酸性疾病至关重要.
- 烯基醇毒性可能来自诸如玉米粉等非传统来源.
- 福梅皮是一种有效的对二醇中毒的解药.
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