Martina Meoli, Sebastiano A G Lava, Gabriel Bronz, Barbara Goeggel-Simonetti, Giacomo D Simonetti, Ilaria Alberti, Carlo Agostoni, Mario G Bianchetti, Martin Scoglio, Stefano A Vismara, Gregorio P Milani
The last decade has been characterized by exciting findings on eu- or hypoglycemic ketosis and ketoacidosis. This review emphasizes the following five key points: 1. Since the traditional nitroprusside-glycine dipstick test for urinary ketones is often falsely negative, the blood determination of β-hydroxybutyrate, the predominant ketone body, is currently advised for a comprehensive assessment of ketone body status; 2. Fasting and infections predispose to relevant ketosis and ketoacidosis especially in newborns, infants, children 7 years or less of age, and pregnant, parturient, or lactating women; 3...
August 16, 2023: Pediatric Nephrology