• J Natl Med Assoc · Feb 2023

    Case Reports

    Mind the gap: A case of unexplained elevated anion gap without concomitant metabolic acidosis.

    • Samantha R Wray, Puja P Patel, and Christopher D Jackson.
    • Department of Medicine, Division of General Internal Medicine, University of Tennessee Health Science Center, Memphis, TN.
    • J Natl Med Assoc. 2023 Feb 1; 115 (1): 778077-80.

    AbstractHypertriglyceridemia causing unexplained hypobicarbotinemia and elevated anion gap is rare. We report the case of a 33-year-old woman who presented with an unexplained high anion gap after a subacute gastrointestinal illness. An arterial blood gas showed a normal bicarbonate level, and a lipid panel resulted in a triglyceride level too high to read, establishing the diagnosis. Treatment included using triglyceride-lowering agents with normalization in the patient's serum bicarbonate levels.Copyright © 2022 National Medical Association. Published by Elsevier Inc. All rights reserved.

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