All issues > Volume 44(6); 2001

Case Report

J Korean Pediatr Soc. 2001;44(6):709-713. Published online June 15, 2001.

Three Cases of Urine Abnormalities Associated with Ketogenic Diet

Hye Won HW Hahn¹, Ki Jung KJ Kim¹, Il Soo IS Ha¹, Hae Il HI Jung¹, Yong Seung YS Hwang¹, Yong Y Choi¹

¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea

Abstract

Ketogenic diet is a high-fat, low carbohydrate, low protein diet used in treatment of pediatric epilepsy since the 1920s. Currently it is used primarily to treat refractory childhood epilepsy. Few serious complications caused by ketogenic diet have been reported. Short-term complications include dehydration, hypoglycemia, vomiting, diarrhea, and refusal to eat. Long-term complications include kidney stones, recurrent infections, metabolic derangement, hypercholesterolemia, irritability, lethargy, and refusal to eat. We experienced 3 cases of infantile spasm patients, whose refractory seizures were controlled with ketogenic diet, but various urinary abnormalities developed.

Keywords :Ketogenic diet, Urine abnormalities