title: Type B lactic acidosis associated with multiple myeloma.
abstract: We present a 58-year-old man with recurrent multiple myeloma treated with 2 autologous stem cell transplantations. He was admitted for dyspnea and found to have severe type B lactic acidosis with serum lactate level of 193.6 mg/dL. This case reviews malignancy-associated type B lactic acidosis and discusses its etiology, pathogenesis, and management.
authors.affiliation: University of Nebraska Medical Center, Omaha, NE 68198-3040, USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Sia
authors.forename: Troy J
authors.initials: TJ
authors.lastname: Plumb
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Fillaus
mesh_terms: D000140:Acidosis, Lactic / Q000145:classification / Q000150:complications* / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications* / Q000175:diagnosis*
keywords: Lactic acidosis (LA); acid-base disorders; glycolysis; lactate; lactate dehydrogenase (LDH); multiple myeloma (MM); pyruvate; sustained low-efficiency dialysis (SLED)