2000
DOI: 10.1081/clt-100100935
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Pancreatic Injury Following Acute Methanol Poisoning

Abstract: Clinical, biological, and radiographic signs of acute pancreatic injury may be more common than previously realized. Acute methanol poisoning appears to produce pancreatic injury, although antidotal treatment with ethanol or prior chronic ethanol abuse may be contributing factors. Because ethanol treatment may complicate the pancreatic injury, fomepizole (4-methylpyrazole) may be the preferable antidote in acute methanol poisoning.

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Cited by 57 publications
(26 citation statements)
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“…The toxic dose of methanol is estimated to be between 0.3 and 1.0 g/kg. Extensive evidence indicates that excessive production of formic acid leads to metabolic acidosis and elevated blood formate ion concentrations which can reach 10 to 20 mM or more in severe human cases (Tong, 1982;Sejersted et al, 1983;Hantson and Mahieu, 2000;Timbrell, 2000;Fox and Boyes, 2001;Barceloux et al, 2002).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The toxic dose of methanol is estimated to be between 0.3 and 1.0 g/kg. Extensive evidence indicates that excessive production of formic acid leads to metabolic acidosis and elevated blood formate ion concentrations which can reach 10 to 20 mM or more in severe human cases (Tong, 1982;Sejersted et al, 1983;Hantson and Mahieu, 2000;Timbrell, 2000;Fox and Boyes, 2001;Barceloux et al, 2002).…”
Section: Resultsmentioning
confidence: 99%
“…Dietary sources of methanol include fruit juices (average 140 mg of methanol/liter; range 12-640 mg/liter) and fermented beverages which can contain up to 1.5 g of methanol/liter (Stegink et al, 1983;Kavat and Nauss, 1990). Consumption of large quantities of methanol by humans or nonhuman primates leads to toxic consequences including metabolic acidosis, visual disturbances progressing to permanent blindness, and death (Tong, 1982;Sejersted et al, 1983;Hantson and Mahieu, 2000;Timbrell, 2000;Fox and Boyes, 2001;Barceloux et al, 2002). The toxic dose of methanol is estimated to be between 0.3 and 1.0 g/kg.…”
Section: Resultsmentioning
confidence: 99%
“…Epidemiologic data indicate a higher frequency of alcohol-induced acute pancreatitis in the areas where surrogates or homemade alcohol are easily available 42 . In particular, methanol poisoning can produce pancreatic injury 43 . Nonpurified synthetic alcohol and self-made beverages can have a relatively high methanol concentration 21 .…”
Section: Health Care Life Expectancy and Alcoholmentioning
confidence: 99%
“…Formic acid is responsible for the characteristic signs and symptoms of methanol toxicity such as coma, seizure, visual disturbances, and metabolic acidosis with a high plasma anion gap [1][2][3][4]. Also, due to inhibition of mitochondrial cytochrome oxidase by formate, lactic acid accumulation can occur [5][6][7][8][9][10][11]. Two antidotes for methanol intoxication include ethanol and fomepizole since they both are competitive inhibitors of ADH [1,12,13].…”
mentioning
confidence: 99%