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Article
July 1986

Sublimed (Inorganic) Sulfur Ingestion: A Cause of Life-Threatening Metabolic Acidosis With a High Anion Gap

Author Affiliations

From the Department of Medicine, Division of Nephrology, Albert Einstein College of Medicine, Bronx (Drs Schwartz and Scharschmidt); and State University of New York Medical Center, Brooklyn (Dr Carroll), NY.

Arch Intern Med. 1986;146(7):1437-1438. doi:10.1001/archinte.1986.00360190229034
Abstract

• We describe a 66-year-old woman undergoing hemodialysis treatment who developed life-threatening metabolic acidosis (pH of 6.67) with a high anion gap (41 mEq/L [41 mmol/L]) and marked hyperkalemia (9.1 mEq/L [9.1 mmol/L]) after consuming sulfur. Because of an increasing number of patients with chronic renal failure and dialysis-dependent end-stage renal disease, as well as persistence of folk remedies using sulfur, recognition of the potential dangers of self-administered sulfur seems appropriate.

(Arch Intern Med 1986;146:1437-1438)

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