Lactic acidosis causes: Difference between revisions
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==Overview== | ==Overview== | ||
Lactic acidosis is one of the most common causes of high [[anion gap]] [[metabolic acidosis]] and is usually associated with a serum [[lactate]] levels above 4 mmol/L. Reduced oxygen tension shunts [[glycolysis]] towards [[pyruvate]] production, which in turn leads to lactate accumulation since pyruvate can no longer undergo [[aerobic metabolism]]. | |||
=== | ==Causes== | ||
===Life Threatening Causes=== | |||
Life-threatening causes include conditions which result in death or permanent disability within 24 hours if left untreated. | |||
*[[Cardiac arrest]] | *[[Cardiac arrest]] | ||
*[[Mesenteric ischemia]] | *[[Mesenteric ischemia]] | ||
*[[Sepsis]] | *[[Sepsis]] | ||
*[[Shock]] | |||
===Common Causes=== | |||
*[[Alcoholism]] | |||
*[[Carbon monoxide poisoning]] | |||
*[[Cyanide poisoning]] | |||
*[[Exercise]] | |||
*[[Grand mal seizure]] | |||
*[[Hypoglycemia]] | |||
*[[Hypoxemia]] | |||
*[[Malignancy]] | |||
*[[Metformin]] | |||
*[[Pheochromocytoma]] | |||
*[[Pulmonary edema]] | |||
*[[Salicylate intoxication]] | |||
*[[Stavudine]] | |||
*[[Zidovudine]] | |||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
{|style="width: | {|style="width:80%; height:100px" border="1" | ||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Cardiac arrest]], [[cardiac catheterization]], [[cardiomyopathy]], [[heart failure]], [[hemorrhage]], [[hypoperfusion]], [[hypovolemia]], [[multiple organ dysfunction syndrome]], [[myocardial infarction]], [[shock]], [[ST elevation myocardial infarction complications]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Chemical/Poisoning''' | | '''Chemical/Poisoning''' | ||
|bgcolor="Beige"|[[ | |bgcolor="Beige"| [[Alcoholism]], [[carbon monoxide poisoning]], [[contrast medium]], [[cyanide poisoning]], [[ethanol]], [[intravenous pyelogram]], [[isopropyl alcohol]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"|[[ | |bgcolor="Beige"| [[Abacavir]], [[adefovir]], [[atenolol]], [[biguanide]], [[buformin]], [[didanosine]], [[emtricitabine]], [[entecavir]], [[Glyburide and Metformin]], [[lamivudine]], [[Linagliptin and Metformin hydrochloride]], [[linezolid]], [[metformin]], [[paracetamol]], [[phenformin]], [[Repaglinide and Metformin hydrochloride]], [[Reye's syndrome]], [[salicylate intoxication]], [[Saxagliptin hydrochloride and Metformin hydrochloride]], [[stavudine]], [[strychnine]], [[telbivudine]], [[tenofovir]], [[zalcitabine]], [[Zidovudine]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Ear Nose Throat''' | | '''Ear Nose Throat''' | ||
|bgcolor="Beige"| No underlying causes | |bgcolor="Beige"| No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Endocrine''' | | '''Endocrine''' | ||
|bgcolor="Beige"|[[ | |bgcolor="Beige"| [[Diabetic nephropathy]], [[hypoglycemia]], [[latent autoimmune diabetes]], [[metabolic syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Environmental''' | | '''Environmental''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"|[[ | |bgcolor="Beige"| [[Acute liver failure]], [[intestinal ischemia]], [[liver failure]], [[mesenteric ischemia]], [[short bowel syndrome]], [[small bowel bacterial overgrowth]] | ||
|- | |||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Fructose intolerance]], [[fructose-1-phosphate aldolase deficiency]], [[fructose-1,6-diphosphatase deficiency]], [[glycogen storage disease]], [[holocarboxylase synthase deficiency]], [[MELAS]], [[MERRF]], [[mitochondrial myopathy]], [[pyruvate carboxylase deficiency]], [[pyruvate dehydrogenase deficiency]], [[von Gierke disease]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"|[[Burkitt's lymphoma]] | |bgcolor="Beige"| [[Anemia]], [[Burkitt's lymphoma]], [[leukemia]], [[non Hodgkin's lymphoma]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Cardiac catheterization]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"|[[ | |bgcolor="Beige"| [[Acquired immune deficiency syndrome]], [[sepsis]], [[small bowel bacterial overgrowth]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Neurologic''' | | '''Neurologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Ethylmalonic encephalopathy]], [[grand mal seizure]], [[seizures]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Nutritional/Metabolic''' | | '''Nutritional/Metabolic''' | ||
|bgcolor="Beige"|[[ | |bgcolor="Beige"| [[Ariboflavinosis]], [[beriberi heart disease]], [[fructose intolerance]], [[fructose-1-phosphate aldolase deficiency]], [[fructose-1,6-diphosphatase deficiency]], [[pyruvate carboxylase deficiency]], [[pyruvate dehydrogenase deficiency]], [[thiamine deficiency]] | ||
| | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Obstetric/Gynecologic''' | | '''Obstetric/Gynecologic''' | ||
|bgcolor="Beige"|[[Fetal distress]] | |bgcolor="Beige"| [[Fetal distress]], [[oligohydramnios]], | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"|[[ | |bgcolor="Beige"| [[Burkitt's lymphoma]], [[cancer]], [[leukemia]], [[non Hodgkin's lymphoma]], [[pheochromocytoma]], | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Pulmonary''' | | '''Pulmonary''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Asthma]], [[hypercapnia]], [[hypoxia]], [[pulmonary edema]], [[respiratory failure]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Renal/Electrolyte''' | | '''Renal/Electrolyte''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Diabetic nephropathy]], [[hemofiltration]], [[renal failure]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Latent autoimmune diabetes]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"|[[Chronic fatigue syndrome]], [[coenzyme Q10|coenzyme q10 deficiency]], [[exercise]], [[glycogen storage disease]], [[hypothermia]], [[idiopathic]], [[malignant hyperpyrexia]], [[mitochondrial toxicity]], [[smoke inhalation]] | ||
|- | |- | ||
|} | |} | ||
<font color="white">Causes by Organ System developed by WikiDoc.org, Copyleft 2013</font> | |||
===Causes in Alphabetical Order=== | ===Causes in Alphabetical Order=== | ||
{{ | {{col-begin|width=80%}} | ||
{{col-break|width=33%}} | |||
*[[Abacavir]] | *[[Abacavir]] | ||
*[[Acquired immune deficiency syndrome | *[[Acquired immune deficiency syndrome]] | ||
*[[Acute liver failure]] | *[[Acute liver failure]] | ||
* | *[[Adefovir]] | ||
*[[ | *[[Alcoholism]] | ||
*[[ | *[[Anemia]] | ||
*[[Ariboflavinosis]] | *[[Ariboflavinosis]] | ||
*[[Asthma]] | |||
*[[Atenolol]] | *[[Atenolol]] | ||
*[[Beriberi heart disease]] | |||
*[[Beriberi | |||
*[[Biguanide]] | *[[Biguanide]] | ||
*[[Buformin]] | *[[Buformin]] | ||
*[[Burkitt's lymphoma]] | *[[Burkitt's lymphoma]] | ||
*[[ | *[[Cancer]] | ||
*[[Carbon monoxide poisoning]] | *[[Carbon monoxide poisoning]] | ||
*[[Cardiac arrest ]] | *[[Cardiac arrest]] | ||
*[[Cardiac catheterization]] | |||
*[[Cardiomyopathy ]] | *[[Cardiomyopathy ]] | ||
*[[Chronic fatigue syndrome]] | *[[Chronic fatigue syndrome]] | ||
*[[Coenzyme Q | *[[Coenzyme Q cytochrome c reductase deficiency]] | ||
*[[Coenzyme Q10 | *[[Coenzyme Q10|Coenzyme Q10 deficiency]] | ||
*[[Contrast medium]] | *[[Contrast medium]] | ||
* | *[[Cyanide poisoning]] | ||
*[[Diabetic nephropathy]] | *[[Diabetic nephropathy]] | ||
*[[Didanosine]] | *[[Didanosine]] | ||
*[[Entecavir]] | *[[Entecavir]] | ||
*[[Ethanol]] | *[[Ethanol]] | ||
*[[Ethylmalonic encephalopathy]] | *[[Ethylmalonic encephalopathy]] | ||
*[[Exercise]] | |||
*[[Fetal distress]] | *[[Fetal distress]] | ||
*[[Fructose intolerance]] | *[[Fructose intolerance]] | ||
{{col-break|width=33%}} | |||
*[[Fructose-1-phosphate aldolase deficiency]] | *[[Fructose-1-phosphate aldolase deficiency]] | ||
*[[Fructose-1, 6-diphosphatase deficiency]] | *[[Fructose-1,6-diphosphatase deficiency]] | ||
*[[Glycogen storage disease]] | |||
*[[Glycogen storage disease]] | |||
*[[GRACILE syndrome]] | *[[GRACILE syndrome]] | ||
*[[Grand mal seizure ]] | *[[Grand mal seizure ]] | ||
*[[ | *[[Hemorrhage]] | ||
*[[Heart | *[[Heart failure]] | ||
*[[Hemofiltration]] | *[[Hemofiltration]] | ||
*[[Hepatic failure]] | *[[Hepatic failure|Liver failure]] | ||
*[[Holocarboxylase synthase deficiency]] | *[[Holocarboxylase synthase deficiency]] | ||
* | *[[Hypercapnia]] | ||
*[[Hypoglycemia]] | *[[Hypoglycemia]] | ||
*[[Hypoperfusion]] | *[[Hypoperfusion]] | ||
* | *[[Hypothermia]] | ||
*[[Hypovolemia]] | |||
*[[Hypoxia]] | *[[Hypoxia]] | ||
*[[Idiopathic]] | *[[Idiopathic]] | ||
*[[Intestinal ischemia]] | |||
*[[Intestinal | |||
*[[Intravenous pyelogram]] | *[[Intravenous pyelogram]] | ||
*[[Isopropyl alcohol]] | *[[Isopropyl alcohol]] | ||
*[[Lamivudine ]] | *[[Lamivudine]] | ||
*[[Latent autoimmune diabetes]] | *[[Latent autoimmune diabetes]] | ||
*[[Leukemia]] | |||
*[[Linezolid]] | *[[Linezolid]] | ||
*[[Liver disease]] | *[[Liver disease]] | ||
*[[Malignant hyperpyrexia]] | *[[Malignant hyperpyrexia]] | ||
*[[Malonyl-CoA decarboxylase deficiency]] | *[[Malonyl-CoA decarboxylase deficiency]] | ||
*[[MELAS]] | *[[MELAS]] | ||
*[[MERRF]] | *[[MERRF]] | ||
*[[Mesenteric ischemia]] | *[[Mesenteric ischemia]] | ||
*[[Metabolic syndrome]] | |||
*[[Metformin]] | *[[Metformin]] | ||
{{col-break|width=33%}} | |||
*[[Mitochondrial myopathy]] | *[[Mitochondrial myopathy]] | ||
*[[Mitochondrial toxicity]] | *[[Mitochondrial toxicity]] | ||
*Multiple organ dysfunction syndrome | *[[Multiple organ dysfunction syndrome]] | ||
*[[ | *[[Myocardial infarction]] | ||
*[[Non Hodgkin's lymphoma]] | *[[Non Hodgkin's lymphoma]] | ||
*[[Oligohydramnios]] | |||
*[[Paracetamol]] | *[[Paracetamol]] | ||
*[[Phenformin]] | *[[Phenformin]] | ||
*[[Pheochromocytoma ]] | *[[Pheochromocytoma]] | ||
*[[Pulmonary edema]] | |||
*[[ | *[[Pyruvate carboxylase deficiency]] | ||
*[[Pyruvate dehydrogenase deficiency]] | |||
*[[Pyruvate | *[[Renal failure]] | ||
*[[Pyruvate dehydrogenase | |||
*[[Renal failure | |||
*[[Respiratory failure]] | *[[Respiratory failure]] | ||
*[[Reye's syndrome]] | *[[Reye's syndrome]] | ||
*[[Salicylate intoxication ]] | *[[Salicylate intoxication]] | ||
* | *[[Seizures]] | ||
*[[Sepsis]] | *[[Sepsis]] | ||
*[[Shock]] | *[[Shock]] | ||
*[[Short bowel syndrome]] | *[[Short bowel syndrome]] | ||
*[[Smoke inhalation ]] | *[[Small bowel bacterial overgrowth syndrome]] | ||
*[[ST | *[[Smoke inhalation]] | ||
*[[ST elevation myocardial infarction complications]] | |||
*[[Stavudine]] | *[[Stavudine]] | ||
*[[Stribild]] | |||
*[[Strychnine]] | *[[Strychnine]] | ||
*[[Telbivudine]] | |||
*[[Tenofovir]] | |||
*[[Thiamine deficiency]] | |||
*[[Telbivudine ]] | *[[Tumors]] | ||
*[[Tenofovir ]] | *[[Von Gierke disease]] | ||
* | |||
* | |||
*[[Von Gierke | |||
*[[Zalcitabine]] | *[[Zalcitabine]] | ||
* | *[[Zidovudine]] | ||
{{col-end}} | |||
{{ | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Crowdiagnosis]] | |||
[[Category:Electrolyte disturbance]] | [[Category:Electrolyte disturbance]] | ||
[[Category:Medical emergencies]] | [[Category:Medical emergencies]] |
Latest revision as of 22:41, 8 December 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Lactic acidosis is one of the most common causes of high anion gap metabolic acidosis and is usually associated with a serum lactate levels above 4 mmol/L. Reduced oxygen tension shunts glycolysis towards pyruvate production, which in turn leads to lactate accumulation since pyruvate can no longer undergo aerobic metabolism.
Causes
Life Threatening Causes
Life-threatening causes include conditions which result in death or permanent disability within 24 hours if left untreated.
Common Causes
- Alcoholism
- Carbon monoxide poisoning
- Cyanide poisoning
- Exercise
- Grand mal seizure
- Hypoglycemia
- Hypoxemia
- Malignancy
- Metformin
- Pheochromocytoma
- Pulmonary edema
- Salicylate intoxication
- Stavudine
- Zidovudine
Causes by Organ System
Causes by Organ System developed by WikiDoc.org, Copyleft 2013