{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:17:10Z","timestamp":1783113430965,"version":"3.54.6"},"reference-count":10,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Key Clinical Message<\/jats:title>\n                  <jats:p>Managing mixed acid\u2013base disorders can be diagnostically challenging, particularly when metabolic acidosis and metabolic alkalosis occur simultaneously. When dealing with metabolic alkalosis, a comprehensive approach involves taking a detailed medical history, assessing volume status, and performing urine chloride analysis. Routine calculation of the anion gap is important to identify masked wide anion gap metabolic acidosis. We report a case of a 32\u2010year\u2010old female with type 1 diabetes mellitus, presented with intractable vomiting for 2\u2009days with hyperglycemia, hypokalemia, and metabolic alkalosis, along with a wide anion gap. She was diagnosed with \u201cdiabetic ketoalkalosis\u201d due to diabetic ketoacidosis combined with vomiting\u2010induced metabolic alkalosis. She became clinically stable after resuscitation with normal saline, intravenous potassium, and intravenous insulin.<\/jats:p>","DOI":"10.1002\/ccr3.8250","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T23:48:19Z","timestamp":1701128899000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Metabolic alkalosis masked presentation of diabetic ketoacidosis: A case report"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0294-5710","authenticated-orcid":false,"given":"Thunyatorn","family":"Wuttiputhanun","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Medicine King Chulalongkorn Memorial Hospital and Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natavudh","family":"Townamchai","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine King Chulalongkorn Memorial Hospital and Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somchai","family":"Eiam\u2010Ong","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine King Chulalongkorn Memorial Hospital and Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6236-8893","authenticated-orcid":false,"given":"Kullaya","family":"Takkavatakarn","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine King Chulalongkorn Memorial Hospital and Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2021.12.016"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V891462"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1972.43"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.16041219"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02450508"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03020906"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6026.19"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/diaclin.33.1.37"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226092"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2019.10.002"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8250","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.8250","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:27:13Z","timestamp":1783110433000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,27]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/ccr3.8250"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8250","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,27]]},"assertion":[{"value":"2023-08-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8250"}}