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HOME > J Korean Soc Clin Toxicol > Volume 11(1); 2013 > Article
Two Cases of Ethylene Glycol Poisoning
Jae Jin Kim, Sung Hyun Yun, Hyun Min Jung, Ji Hye Kim, Seung Baik Han, Jun Sig Kim, Jin Hui Paik
Journal of The Korean Society of Clinical Toxicology 2013;11(1):36-40
DOI: https://doi.org/
Published online: June 30, 2013
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1Department of Emergency Medicine, College of Medicine, Inha University
2Department of Emergency Medicine, College of Medicine, Inha University
3Department of Emergency Medicine, College of Medicine, Inha University
4Department of Emergency Medicine, College of Medicine, Inha University
5Department of Emergency Medicine, College of Medicine, Inha University
6Department of Emergency Medicine, College of Medicine, Inha University
7Department of Emergency Medicine, College of Medicine, Inha University

Ethylene glycol poisoning is treated mainly by alcohol dehydrogenase inhibition therapy and hemodialysis. Early recognition and initiation of treatment is important because toxic metabolites increase over time by hepatic metabolism; however, there is no confirmative diagnostic tool in our clinical setting. Therefore, diagnosis is dependent on history, high anion gap acidosis, high osmolal gap, etc.. Diagnosis and treatment are delayed in cases where history taking is not possible, such as a mental changed patient. Authors report on two cases of ethylene glycol poisoning by contrasting clinical outcomes, demonstrating the importance of early diagnosis and treatment for achievement of a good outcome.

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JKSCT : Journal of The Korean Society of Clinical Toxicology