Jump to main content
US EPA
United States Environmental Protection Agency
Search
Search
Main menu
Environmental Topics
Laws & Regulations
About EPA
Health & Environmental Research Online (HERO)
Contact Us
Print
Feedback
Export to File
Search:
This record has one attached file:
Add More Files
Attach File(s):
Display Name for File*:
Save
Citation
Tags
HERO ID
1054300
Reference Type
Journal Article
Subtype
Review
Title
Ethylene glycol, methanol and isopropyl alcohol intoxication
Author(s)
Jammalamadaka, D; Raissi, S
Year
2010
Is Peer Reviewed?
Yes
Journal
American Journal of the Medical Sciences
ISSN:
0002-9629
EISSN:
1538-2990
Location
United States
Volume
339
Issue
3
Page Numbers
276-281
Language
English
PMID
20090509
DOI
10.1097/MAJ.0b013e3181c94601
Web of Science Id
WOS:000275419000017
Abstract
In clinical practice, poisoning with ethylene glycol, methanol, and isopropyl alcohol is common. These alcohol-related intoxications can present with high anion gap metabolic acidosis and increased osmolality. Toxicity and clinical symptoms are due to the accumulation of their metabolites, causing increased anion gap, rather than the parent compounds that are associated with an increase of serum osmolality. Clinical manifestations result from abnormalities of neurologic, cardiopulmonary, and renal function. Laboratory abnormalities when present are helpful for diagnosis but may be absent depending on the time of ingestion and time of presentation. Fomepizole and ethanol are potent inhibitors of alcohol dehydrogenase and reduce generation of toxic metabolites. Hemodialysis is an effective way of detoxification because it can remove unmetabolized alcohol in addition to the organic anions. High index of suspicion and early diagnosis can prevent the significant morbidity and mortality associated with these intoxications.
Keywords
Methanol, ethylene glycol and isopropyl alcohol toxicity; High anion gap metabolic acidosis; Osmolar gap; Fomepizole; Hemodialysis
Tags
•
Methanol (Non-Cancer)
Search 2012
PubMed
WOS
ToxNet
ProQuest
Home
Learn about HERO
Using HERO
Search HERO
Projects in HERO
Risk Assessment
Transparency & Integrity