Alcoholic ketoacidosis occurs in patients with chronic ethanol abuse and liver disease and develops following an episode of acute intoxication, at which time the ingested ethanol may have already been extensively metabolized, leading to low or normal serum ethanol levels. Ethanol is oxidized to acetaldehyde and then to acetic acid,
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ELBOMBARDO - (no access) - MKSAP_17.pdf, p3529
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