Double gap metabolic acidosis in a Chinese alcoholic
نویسندگان
چکیده
منابع مشابه
Anion gap metabolic acidosis
Metabolic acidosis is defined as a low arterial blood pH in conjunction with a reduced serum HCO3concentration. Respiratory compensation results in a decrease in PaCO2. A low serum HCO3concentration alone is not diagnostic of metabolic acidosis because it also results from the renal compensation to chronic respiratory alkalosis. Measurement of the arterial pH differentiates between these two po...
متن کاملProfound metabolic acidosis from pyroglutamic acidemia: an underappreciated cause of high anion gap metabolic acidosis.
The workup of the emergency patient with a raised anion gap metabolic acidosis includes assessment of the components of “MUDPILES” (methanol; uremia; diabetic ketoacidosis; paraldehyde; isoniazid, iron or inborn errors of metabolism; lactic acid; ethylene glycol; salicylates). This approach is usually sufficient for the majority of cases in the emergency department; however, there are many othe...
متن کاملA rare cause of high anion gap metabolic acidosis.
Methylmalonic aciduria is an inborn error in the organic acids metabolism. Deficiency of methylmalonyl CoA mutase or its coenzyme, adenosylcobalamine, leads to accumulation of methymalonic acid in body fluids. The disease manifests with recurrent episodes of dehydration, metabolic acidosis, coma and death. We report a case of methylmalonic aciduria diagnosed in a female infant who presented wit...
متن کاملTreatment of acute non-anion gap metabolic acidosis
Acute non-anion gap metabolic acidosis, also termed hyperchloremic acidosis, is frequently detected in seriously ill patients. The most common mechanisms leading to this acid-base disorder include loss of large quantities of base secondary to diarrhea and administration of large quantities of chloride-containing solutions in the treatment of hypovolemia and various shock states. The resultant a...
متن کاملAn unusual case of severe high anion gap metabolic acidosis
We present a case of high anion gap metabolic acidosis with an unusual aetiology in a 75-year-old lady with hypoglycaemia, encephalopathy and relatively preserved renal function. Full toxicology and biochemical analysis suggested that she had an inborn error of metabolism, riboflavin-responsive multiple acyl-CoA dehydrogenase deficiency that can predispose to severe acidosis in situations where...
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ژورنال
عنوان ژورنال: Hong Kong Journal of Nephrology
سال: 2011
ISSN: 1561-5413
DOI: 10.1016/j.hkjn.2011.09.002