Pseudo-anion gap acidosis |
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| Authors: | Navaneethan, Sankar D. Mooney, Robert Sloand, James |
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| Affiliation: | 1 Division of Nephrology, University of Rochester School of Medicine, Rochester, NY, USA
2 Department of Pathology and Laboratory Medicine, University of Rochester School of Medicine, Rochester, NY, USA |
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| Abstract: | | Case | A 74-year-old Caucasian male was referred to our clinic forlow serum bicarbonate levels and a high anion gap (HAG). Pastmedical history included hypertension, hypothyroidism, irondeficiency anaemia secondary to gastrointestinal bleeding andhyperlipidaemia. He was on Bicitra 30 mL orally three timesdaily, levothyroxine 75 mcg daily, atorvastatin 10 mg daily,ferrous sulphate 324 mg daily and chlorthalidone 12.5 mg daily.He denied smoking, alcoholism or illegal drug abuse. Physicalexam was unremarkable. His laboratory values obtained over the 18 months after ourevaluation are outlined in Table 1. Arterial blood gas showeda pH of 7.37, PCO2 of 35
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| Keywords: | acidosis anion gap |
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