D-lactic acidosis. A review of clinical presentation, biochemical features, and pathophysiologic mechanisms.

@article{Uribarri1998DlacticAA,
  title={D-lactic acidosis. A review of clinical presentation, biochemical features, and pathophysiologic mechanisms.},
  author={Jaime Uribarri and Man Seok Oh and Hugh J. Carroll},
  journal={Medicine},
  year={1998},
  volume={77 2},
  pages={73-82}
}
This report describes a case of d-lactic acidosis observed by the authors and then reviews all case reports of d-lactic acidosis in the literature in order to define its clinical and biochemical features and pathogenetic mechanisms. The report also reviews the literature on metabolism of d-lactic acid in humans. The clinical presentation of d-lactic acidosis is characterized by episodes of encephalopathy and metabolic acidosis. The diagnosis should be considered in a patient who presents with… CONTINUE READING