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Case Reports
. 2013 Sep;62(3):633-7.
doi: 10.1053/j.ajkd.2013.03.036. Epub 2013 Jun 4.

Type B lactic acidosis associated with multiple myeloma

Patrick Sia  1 , Troy J Plumb, Jennifer A Fillaus
Affiliations
Case Reports

Type B lactic acidosis associated with multiple myeloma

Patrick Sia et al. Am J Kidney Dis. 2013 Sep.

Abstract

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.

Keywords: Lactic acidosis (LA); acid-base disorders; glycolysis; lactate; lactate dehydrogenase (LDH); multiple myeloma (MM); pyruvate; sustained low-efficiency dialysis (SLED).

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