キャン　リョウコ   KYAN Ryoko   喜屋武　玲子    所属   埼玉医科大学  医学部 臨床中毒科    職種   専任講師
論文種別	学術雑誌(症例報告)
言語種別	英語
査読の有無	査読あり
表題	Transient total blindness associated with alcoholic ketoacidosis.
掲載誌名	正式名：Acute Medicine & Surgery
掲載区分	国内
巻・号・頁	11(8),e660頁
著者・共著者	Sato H, Kyan R, Kamada C, Kaku M, Sato S, Tawara T, Sakawaki E, Sakawaki S, Takeyama Y.
発行年月	2021/05
概要	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.