[Starvation ketosis in a breastfeeding woman].
BACKGROUND
Bovine ketosis is a rare cause of metabolic acidosis. It is a starvation ketosis that appears in lactating woman.


METHODS
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.


CONCLUSIONS
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.
Service de médecine interne, hôpital Beaujon, AP-HP, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
D
D
Monnier
Service de médecine interne, hôpital Bichat-Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France. Electronic address: tiphaine.goulenok@bch.aphp.fr.
T
T
Goulenok
Service de réanimation, hôpital Beaujon, AP-HP, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
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J
Allary
Service de médecine interne, hôpital Beaujon, AP-HP, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
V
V
Zarrouk
Service de médecine interne, hôpital Bichat-Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.
B
B
Fantin
D000328:Adult; D050110:Bariatric Surgery; D001942:Breast Feeding; D005215:Fasting; D005260:Female; D006801:Humans; D007662:Ketosis / Q000175:diagnosis / Q000209:etiology; D007774:Lactation / Q000378:metabolism*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology
Allaitement; Bovine ketosis; Breastfeeding; Chirurgie bariatrique; Cétose de jeûne; Gastric surgery; Starvation ketosis