A Report of Two Cases: Unlearning Lactic Acidosis-Reference-Cited by-同舟云学术

A Report of Two Cases: Unlearning Lactic Acidosis

Published:2021-04-08 Issue:5 Volume:2 Page:182-185
ISSN:2474-252X
Container-title:Clinical Practice and Cases in Emergency Medicine
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Author:

Mohan Sanjay¹,Goldfarb David²,Hoffman Robert¹

Affiliation:

1. NYU Grossman School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York

2. NYU Grossman School of Medicine, Division of Nephrology, New York, New York

Abstract

Introduction: The term “lactic acidosis” reinforces the misconception that lactate contributes to acidemia. Although it is common to discover an anion gap acidosis with a concomitant elevated lactate concentration, the two are not mutually dependent. Case Report: Here we describe two patients exhibiting high lactate concentrations in the setting of metabolic alkalemia. Conclusion: Lactate is not necessarily the direct cause of acid-base disturbances, and there is no fixed relationship between lactate and the anion gap or between lactate and pH. The term “metabolic acidosis with hyperlactatemia” is more specific than “lactic acidosis” and thus more appropriate.

Publisher

Western Journal of Emergency Medicine

Subject

General Medicine

Reference15 articles.

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