Chronic metabolic alkalosis: not uncommon in young children with severe cystic fibrosis.

Abstract:

:The acid-base balance of 199 patients with cystic fibrosis, seen from 1987 through 1992 at the Bern Outpatient Clinic, were evaluated. Simple metabolic alkalosis was demonstrated in 16 and mixed metabolic alkalosis and respiratory acidosis in 9 patients. When compared with 10 patients with simple respiratory acidosis and 16 with normal hydrogen ion balance, those with simple metabolic alkalosis were significantly younger. The need for pancreatic enzymes was significantly higher and the relative underweight significantly more severe in patients with either simple or mixed metabolic alkalosis and respiratory acidosis. The results indicate the rather common occurrence of chronic metabolic alkalosis in cystic fibrosis. It is observed in young patients, in patients who need high doses of pancreatic enzymes and in the those with poor nutritional status.

journal_name

Am J Nephrol

authors

Pedroli G,Liechti-Gallati S,Mauri S,Birrer P,Kraemer R,Foletti-Jäggi C,Bianchetti MG

doi

10.1159/000168839

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

245-50

issue

3

eissn

0250-8095

issn

1421-9670

journal_volume

15

pub_type

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