Abstract

Hemodialysis patients develop metabolic acidosis due to their impaired excretion of daily produced protons (H⁺). The following report will show a rare case of severe metabolic alkalosis (predialysis pH 7.52, base excess (BE) +17) in a hemodialysis woman caused by self-provoked upper gastrointestinal H⁺ losses based on an eating disorder. Treatment with a proton pump inhibitor resulted in the normalization of acid/base homeostasis (predialysis pH 7.40, BE +1.6).

Author Details

Authors

• B.M. Kirsch
• G. Sunder-Plassmann
• C. Schwarz

Departments

• Division of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria
  
  

Address

B.M. Kirsch, MD
Division of Nephrology and Dialysis
Department of Medicine III
Medical University of Vienna
Währingergürtel 18-20
1090 Vienna, Austria
Email: [email protected]

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