| Drug-induced hypoglycemia presenting as acute mountain sickness, after mistaking acetohexamide for acetazolamide. | |
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MedLine Citation:
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PMID: 11990118 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute mountain sickness (AMS) can present with a wide variety of symptoms in unacclimatized persons who rapidly ascend to altitudes > 2500 m. The clinical manifestations of drug-induced hypoglycemia, including adrenergic and neurologic symptoms, have significant overlap with the AMS symptom complex. These similarities can lead to confusion in the diagnosis of hypoglycemia versus AMS, particularly for diabetics ascending to altitude. A case is described in which the oral hypoglycemic agent acetohexamide, instead of acetazolamide, was mistakenly self-administered for the prophylaxis and treatment of altitude illness. Improper self-medication by travelers in remote areas may be more common than is currently recognized. |
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Authors:
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J A Litch |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Wilderness & environmental medicine Volume: 7 ISSN: 1080-6032 ISO Abbreviation: Wilderness Environ Med Publication Date: 1996 Aug |
Date Detail:
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Created Date: 2002-05-06 Completed Date: 2002-06-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9505185 Medline TA: Wilderness Environ Med Country: United States |
Other Details:
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Languages: eng Pagination: 232-5 Citation Subset: IM |
Affiliation:
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Himalayan Rescue Association, Kathmandu, Nepal. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acetazolamide Acetohexamide / adverse effects* Adult Altitude Sickness / diagnosis Diagnosis, Differential Diuretics Female Humans Hypoglycemia / chemically induced*, diagnosis* Hypoglycemic Agents / adverse effects* Mountaineering Self Medication |
| Chemical | |
Reg. No./Substance:
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0/Diuretics; 0/Hypoglycemic Agents; 59-66-5/Acetazolamide; 968-81-0/Acetohexamide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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