Severe High Anion Gap Metabolic Acidosis in Pregnancy


  • Maryam Hami assitant prof. of nephrology
  • Maliheh Hasanzadeh Mofrad
  • Reihaneh Takallo


Ketoacidosis can occur most often as a result of uncontrolled diabetes mellitus. However, it can be seen with fasting and alcohol consumption, as well. Ketoacidosis in association with fasting has less severity, and ketoacid levels do not exceed 10 mEq/L. In the literature, there are a few reports about severe high anion gap acidosis that were associated with fasting. We report a case of pregnancy associated with high anion gap acidosis as a result of fasting.

Author Biographies

  • Maryam Hami, assitant prof. of nephrology
    Division of Nephrology, Department of Internal Medicine, Mashhad University of Medical Sciences(MUMS), Mashhad, Iran
  • Maliheh Hasanzadeh Mofrad
    Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran






CASE REPORT | Kidney Diseases