Severe lactic acidosis and acute leukemia

Authors

  • David Loja Departamento de Medicina Interna, Hospital Arzobispo Loayza.Lima-Perú
  • Maricela Vilca Centro Médico-Quirúrgico.Clínica ESSALUD.
  • Ricardo Postigo Departamento de Medicina Interna, Hospital Arzobispo Loayza.Lima-Perú
  • Aimee Torres Servicio de Hematología Clínica, Hospital Arzobispo Loayza. Lima-Perú.
  • José Alvizuri Departamento de Cirugía General, Hospital Arzobispo Loayza. Lima-Perú.

DOI:

https://doi.org/10.15381/anales.v65i1.1375

Keywords:

Acidosis, lactic, leukemia, B-cell, acute, hexokinase, tumor necrosis factor.

Abstract

We report the case of a 27 year-old patient with acute lymphoblastic leukemia who presented severe lactic acidosis as a metabolic complication. She presented with severe malnutrition, marked anemia and consuming syndrome. There was no reticuloendothelial system compromise and an initial myelogram was normal. These factors delayed the diagnosis and forced the extent of the differential diagnosis. The suspicion of lactic acidosis-associated hematologic neoplasia needed reassessing the case with new myelogram to establish the diagnosis.

Downloads

Published

2004-03-15

Issue

Section

Casos clínicos

How to Cite

1.
Loja D, Vilca M, Postigo R, Torres A, Alvizuri J. Severe lactic acidosis and acute leukemia. An Fac med [Internet]. 2004 Mar. 15 [cited 2024 Jul. 17];65(1):49-55. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/1375