Pseudo Metabolic Acidosis in the Setting of Hypertriglyceridemia: A Case Report

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Authors

  • Atul Bali University of Virginia, Charlottesville,VA, USA; Centra Southside Community Hospital, 800 Oak St, Farmville,VA 23901, USA
  • Roopa Naik Centra Southside Community Hospital, 800 Oak St, Farmville,VA 23901, USA

DOI:

https://doi.org/10.17140/IMOJ-4-111

Keywords:

Hypertriglyceridemia, Acid-base disorders, Low serum bicarbonate, Metabolic acidosis

Abstract

Low serum bicarbonate, with or without an elevated anion gap, can indicate metabolic acidosis. High anion gap metabolic acidosis is due to the unmeasured anions. Hypertriglyceridemia can also be associated with spuriously low serum bicarbonate levels due to lab interference. We present a 44-year-old woman who presented with anion gap metabolic acidosis in the presence of severe hypertriglyceridemia.

References

Stein H. Spuriously low serum bicarbonate levels in patients with hyperlipidemia: A report of 4 cases. Am J Kidney Dis. 2019; 73(1): 131-133. doi: 10.1053/j.ajkd.2018.04.016

Dana, Ali Pardis, and Amir Kazory. Spurious low serum bicar-bonate level due to severe hypertriglyceridemia: A clinical chal-lenge. Am J Med. 2020; pii: S0002-9343(20)30007-3. doi: 10.1016/j. amjmed.2019.11.029

Rifkin SI, Shaub B. Factitious hypobicarbonatemia associated with profound hyperlipidemia. Ren Fail. 2014; 36(7): 1155-1157. doi: 10.3109/0886022X.2014.917945 Case Report | Volume 4 | Number 1|

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Published

2020-04-07

How to Cite

Atul Bali, & Roopa Naik. (2020). Pseudo Metabolic Acidosis in the Setting of Hypertriglyceridemia: A Case Report. Internal Medicine, 4(1), 1–2. https://doi.org/10.17140/IMOJ-4-111

Issue

Vol. 4 No. 1 (2020): Volume 4 Issue 1 2020

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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