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Hyperammonemia was noted, while liver function test results remained normal.
Removal of the high-protein dietary supplements led to reversal of symptoms and normalization of the ammonia level.
With the ubiquity of nutrition supplement use, SHAKE (supplement-associated hyperammonemia after c[k]achetic episode) syndrome may be common in modern hospitals.
References:
Iatrogenic Hyperammonemia After Anorexia. Emily Welsh, BA; Jan Kucera, MD; Michael D. Perloff, MD, PhD. Arch Intern Med. 2010;170(5):486-488.
Image source: sxc.hu.
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Ditulis oleh:
Unknown - Sunday, June 22, 2014
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