TY - JOUR T1 - Lactic acidosis expediting a diagnosis of acute lymphoblastic leukaemia JF - BMJ Case Reports DO - 10.1136/bcr.02.2009.1601 VL - 2009 SP - bcr0220091601 AU - Heather Young AU - Salil Singh AU - Brigit Fiona Greystoke AU - Robert Paul Willert Y1 - 2009/01/01 UR - http://casereports.bmj.com/content/2009/bcr.02.2009.1601.abstract N2 - We report the finding of a low venous bicarbonate and lactic acidosis in a patient with mild pancytopenia which raised the suspicion of haematological malignancy and expedited the diagnosis of acute lymphoblastic leukaemia. This report highlights the value of testing for lactic acidosis when haematological malignancies are considered and reviews the metabolism of lactic acidosis. ER -