Journal
AMERICAN JOURNAL OF KIDNEY DISEASES
Volume 62, Issue 3, Pages 633-637Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1053/j.ajkd.2013.03.036
Keywords
Lactic acidosis (LA); lactate; pyruvate; lactate dehydrogenase (LDH); glycolysis; acid-base disorders; multiple myeloma (MM); sustained low-efficiency dialysis (SLED)
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We present a 58-year-old man with recurrent multiple myeloma treated with 2 autologous stem cell transplantations. He was admitted for dyspnea and found to have severe type B lactic acidosis with serum lactate level of 193.6 mg/dL. This case reviews malignancy-associated type B lactic acidosis and discusses its etiology, pathogenesis, and management. (C) 2013 by the National Kidney Foundation, Inc.
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