Dejman Adriana, Riveros Jason
Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Internal Medicine, Universidad Ricardo Palma, Santiago de Surco, Peru.
Saudi J Kidney Dis Transpl. 2018 Nov-Dec;29(6):1480-1483. doi: 10.4103/1319-2442.248314.
Lactic acidosis is a life-threatening and rather common complication and reason for consultation to the nephrologist. The cause for this condition is usually thought to be secondary to hypoperfusion and ischemia collectively. However, many other rare causes have been described, yet there is little awareness of these, consequently delaying optimal care. We present a multifactorial case of lactic acidosis due to thiamine deficiency, liver disease, and lymphoma; all underrecognized causes of Type B lactic acidosis.
乳酸酸中毒是一种危及生命且相当常见的并发症，也是患者咨询肾病科医生的常见原因。这种情况的病因通常被认为继发于全身性的灌注不足和缺血。然而，已经描述了许多其他罕见病因，但对此认识不足，从而延误了最佳治疗。我们报告一例由硫胺素缺乏、肝病和淋巴瘤导致的多因素乳酸酸中毒病例；这些都是B型乳酸酸中毒未被充分认识的病因。
