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- W2969843485 abstract "A 51-year-old male with a psychiatric history was admitted to the hospital for evaluation of altered mental status. He had been suffering from an intense itching involving his head and torso for the past 2 years. A thorough evaluation by a dermatologist was negative for any organic skin pathology. Several medications, including cetirizine, hydroxyzine, risperidone, gabapentin, did not alleviate his itching. The patient started applying hand sanitizer diffusely to his skin several times a day. In a desperate attempt to achieve relief, he began scrubbing the sanitizer with a hard brush to his skin, which led to peeling of the epidermis on his back. Two days before presentation, the patient poured a large amount of the sanitizer into a plastic trash bag and immersed himself into it. His family found him 30 hours later in the bag, unresponsive, and called 911. He had no history of renal disease or substance abuse including alcohol." @default.
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- W2969843485 date "2019-09-01" @default.
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- W2969843485 title "The Case | Unexplained stupor with a high osmolal and high anion gap metabolic acidosis" @default.
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- W2969843485 doi "https://doi.org/10.1016/j.kint.2019.02.026" @default.
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