Table 4

Main causes of high anion gap metabolic acidosis

High anion gap metabolic acidosis (GOLD MARK)
GGlycols (ethylene and propylene)
O5-Oxoproline (pyroglutamic acid) chronic paracetamol use, EtOH, poor nutrition, vegetarian diet, renal failure, infection, flucloxacillin/dicloxacillin/netilmicin, Vigabatrin
LLactate
DD-lactic acid
Associated with short bowel syndrome
MMethanol and other toxins (ethanol, Aldehyde)
AAspirin, salicylates
RRenal failure
KKetoacidosis
  • EtOH, ethyl alcohol,.