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Baking soda pica: A case of hypokalemic metabolic alkalosis and rhabdomyolysis in pregnancy

Publication ,  Journal Article
Grotegut, CA; Dandolu, V; Katari, S; Whiteman, VE; Geifman-Holtzman, O; Teitelman, M
Published in: Obstetrics and Gynecology
February 1, 2006

BACKGROUND: We report a case of baking soda pica in a woman at 31 weeks of pregnancy causing severe hypokalemic metabolic alkalosis and rhabdomyolysis. CASE: A multigravida at 31 weeks of gestation presented with weakness and muscle pain. She was found to have severe hypokalemic metabolic alkalosis and rhabdomyolysis, with elevation in serum transaminases and hypertension. We initially thought the patient had an atypical presentation of preeclampsia until it was realized that she was ingesting 1 full box of baking soda (454 g sodium bicarbonate) per day. Symptoms and abnormal laboratory findings resolved with discontinuation of the patient's pica practices. CONCLUSION: Pica is a common but often overlooked practice that can potentially lead to life-threatening disorders. A thorough evaluation of a patient's dietary intake is extremely important, especially in the setting of atypical presentations of disease in pregnancy. © 2006 by The American College of Obstetricians and Gynecologists. Published by Lippincott Williams & Wilkins.

Duke Scholars

Published In

Obstetrics and Gynecology

DOI

ISSN

0029-7844

Publication Date

February 1, 2006

Volume

107

Issue

2 II

Start / End Page

484 / 486

Related Subject Headings

  • Obstetrics & Reproductive Medicine
  • 1114 Paediatrics and Reproductive Medicine
 

Citation

APA
Chicago
ICMJE
MLA
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Grotegut, C. A., Dandolu, V., Katari, S., Whiteman, V. E., Geifman-Holtzman, O., & Teitelman, M. (2006). Baking soda pica: A case of hypokalemic metabolic alkalosis and rhabdomyolysis in pregnancy. Obstetrics and Gynecology, 107(2 II), 484–486. https://doi.org/10.1097/01.AOG.0000167391.61168.e2
Grotegut, C. A., V. Dandolu, S. Katari, V. E. Whiteman, O. Geifman-Holtzman, and M. Teitelman. “Baking soda pica: A case of hypokalemic metabolic alkalosis and rhabdomyolysis in pregnancy.” Obstetrics and Gynecology 107, no. 2 II (February 1, 2006): 484–86. https://doi.org/10.1097/01.AOG.0000167391.61168.e2.
Grotegut CA, Dandolu V, Katari S, Whiteman VE, Geifman-Holtzman O, Teitelman M. Baking soda pica: A case of hypokalemic metabolic alkalosis and rhabdomyolysis in pregnancy. Obstetrics and Gynecology. 2006 Feb 1;107(2 II):484–6.
Grotegut, C. A., et al. “Baking soda pica: A case of hypokalemic metabolic alkalosis and rhabdomyolysis in pregnancy.” Obstetrics and Gynecology, vol. 107, no. 2 II, Feb. 2006, pp. 484–86. Scopus, doi:10.1097/01.AOG.0000167391.61168.e2.
Grotegut CA, Dandolu V, Katari S, Whiteman VE, Geifman-Holtzman O, Teitelman M. Baking soda pica: A case of hypokalemic metabolic alkalosis and rhabdomyolysis in pregnancy. Obstetrics and Gynecology. 2006 Feb 1;107(2 II):484–486.
Journal cover image

Published In

Obstetrics and Gynecology

DOI

ISSN

0029-7844

Publication Date

February 1, 2006

Volume

107

Issue

2 II

Start / End Page

484 / 486

Related Subject Headings

  • Obstetrics & Reproductive Medicine
  • 1114 Paediatrics and Reproductive Medicine