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Case 8-2001: Low Anion Gap in Lymphoplasmacytic Lymphomaby: Volume
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AbstractTo the Editor: In his excellent discussion of Case 8-2001 (March 15 issue),1 Dr. Wong did not mention that the low anion gap is another helpful clinical clue. On the day of admission, the patient had a relatively low anion gap of 5 mmol per liter, and the value on the third hospital day was 4 mmol per liter. Given such findings, the differential diagnosis is limited to three underlying mechanisms: a decrease in the levels of unmeasured anions (i.e., albumin); inaccuracies in the laboratory determinations of sodium or chloride that are related to the presence of hypertriglyceridemia, very . . . [Full Text of this Article]
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