Ketonemia

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Background

The following conditions will cause elevated serum ketones:

  • Diabetic ketoacidosis
  • Starvation ketosis
  • Isopropyl alcohol ingestion
  • Salicylate overdose
  • Pregnancy
  • Cortisol deficiency
  • Alcohol ketoacidosis
  • High-fat diet
  • Vomiting
  • Diarrhea
  • Hyperthyroidism
  • Inborn errors of metabolism (cystinuria)
  • Hypoglycemia

False positive elevations

The following conditions spur false-positive results[4, 5] :

  • Parkinson medications
  • Ex-Lax use