A case of type B lactic acidosis in acute leukemia.
Type B lactic acidosis is a rare condition in patients with solid tumors or hematological malignancies. Although there have been several theories to explain its mechanism, the exact cause of lactic acidosis remains to be discovered. Lactic acidosis is usually related to increased tumor burden in patients with malignancy. We experienced a case of lactic acidosis in a 39-year-old man who visited an emergency room because of dyspnea, and the cause of lactic acidosis turned out to be recurrent acute leukemia. Chemotherapy relieved the degree of lactic acidosis initially, but as the disease progressed, lactic acidosis became aggravated. Type B lactic acidosis can be a clinical presentation of acute exacerbation of acute leukemia.
Lee
Hae Seung
HS
Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Kim
Hyun Jung
HJ
Choi
Soojeong
S
Kim
Chan Kyu
CK
Lee
Nam Su
NS
Lee
Kyu Taek
KT
Won
Jong Ho
JH
Park
Hee Sook
HS
Hong
Dae Sik
DS
D000140:Acidosis, Lactic / Q000175:diagnosis* / Q000209:etiology; D000208:Acute Disease; D000328:Adult; D006801:Humans; D007938:Leukemia / Q000150:complications*; D008297:Male