title: Metabolic alkalosis induced by plasmapheresis in a patient with systemic lupus erythematosus.
abstract: We report a patient with systemic lupus erythematosus (SLE), who had developed metabolic alkalosis during plasmapheresis. The metabolic alkalosis could be promptly corrected by reducing the amount of citrate load. The development of metabolic alkalosis can be explained by the citrate load during plasmapheresis. Careful monitoring of acid base status is mandatory in patients with limited renal function and the reduction of citrate load may be advisable in plasmapheresis.
authors.affiliation: Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.
authors.forename: M Y
authors.initials: MY
authors.lastname: Choi
authors.forename: J D
authors.initials: JD
authors.lastname: Lee
authors.forename: S H
authors.initials: SH
authors.lastname: Lee
authors.forename: I S
authors.initials: IS
authors.lastname: Park
authors.forename: J Y
authors.initials: JY
authors.lastname: Woo
authors.forename: E J
authors.initials: EJ
authors.lastname: Choi
authors.forename: Y S
authors.initials: YS
authors.lastname: Chang
authors.forename: B K
authors.initials: BK
authors.lastname: Bang
mesh_terms: D000293:Adolescent; D000471:Alkalosis / Q000209:etiology*; D002951:Citrates; D019343:Citric Acid; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000378:metabolism* / Q000628:therapy; D010956:Plasmapheresis / Q000009:adverse effects* / Q000379:methods
chemical_list: D002951:Citrates; D019343:Citric Acid