Low anion gap

Southern Medical Journal

Volumn 91, Issue 7, 1998, Pages 624-629

  Jurado, Rafael L ^a   Del Rio, Carlos ^b   Nassar, George ^b   Navarette, Jose ^b   Pimentel Jr , J Luis ^b  

^a ATLANTA VA MEDICAL CENTER   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

CHLORIDE ION; SODIUM ION;

ANION GAP; BLOOD VISCOSITY; CHLORIDE BLOOD LEVEL; DIFFERENTIAL DIAGNOSIS; ELECTROLYTE DISTURBANCE; HUMAN; HYPOALBUMINEMIA; ION SELECTIVE ELECTRODE; PATHOPHYSIOLOGY; REVIEW; SODIUM BLOOD LEVEL;

EID: 0031849731     PISSN: 00384348     EISSN: None     Source Type: Journal    
DOI: 10.1097/00007611-199807000-00004     Document Type: Review

References (41)

1. Emmett M, Narins RG: Clinical use of the anion gap. Medicine 1977; 56:38-54
2. Oh MS, Carroll HJ: The anion gap. N Engl J Med 1977; 297: 814-817
3. Covington AK (ed): Ion-Selective Electrode Methodology. Boca Raton, Fla, CRC Press Inc, Vol 2, 1979
4. Winter SD, Pearson J, Gabow PA, et al: The fall of the serum anion gap. Arch Intern Med 1990; 150:311-313
5. Sadjadi SA, Fagan T: Lower values and a new range for anion gap in the diagnosis of acid base disorders. J Am Soc Nephrol 1993; 4:299
6. Eisenman G, Tubin DO, Casby JU: Glass electrode for measuring sodium ions. Science 1957; 126:831-834
7. Frant MS, Ross JW Jr: Potassium ion specific electrode with high selectivity for potassium over sodium. Science 1970; 167:987-988
8. Sternberg JC, Updike SJ, Lehane DP: Selective electrode sensors. Microtechniques for the Clinical Laboratory. Concepts and Applications. Werner M (ed). New York, John Wiley and Sons, 1976, pp 129-151
9. Tietz NW: Fundamentals of Clinical Chemistry. Philadelphia, WB Saunders Co, 1983, pp 948, 963, 965
10. McDonald DA: Effects of protein and triglycerides on serum sodium and potassium values obtained by the Kodak dry film potentiometric technique. Can J Med Technol 1986; 48:146
11. Mordes JP, Swartz R, Arky RA: Extreme hypermagnesemia as a cause of refractory hypotension. Ann Intern Med 1975; 33:657-658
12. Emmett M, Narins RG: Letter to the editor. Ann Intern Med 1976; 84:340-341
13. Clark BA, Brown RS: Unsuspected morbid hypermagnesemia in elderly patients. Am J Nephrol 1992; 12:336-343
14. Oster JR, Gutierrez R, Schlessinger FB, et al: Effect of hypercalcemia on the anion gap. Nephron 1990; 55:164-169
15. Silverstein FJ, Oster JR, Materson BJ, et al: The effect of administration of lithium salts and magnesium sulfate on the serum anion gap. Am J Kidney Dis 1989; 9:377-381
16. Kelleher SP, Raciti A, Arbeit LA: Reduced or absent serum anion gap as a marker for severe lithium carbonate intoxication. Arch Intern Med 1986; 146:1839
17. Murray T, Long W, Narins RG: Multiple myeloma and the anion gap. N Engl J Med 1975; 292:574-575
18. Frolich J, Adam W, Golbey M, et al: Decreased anion gap associated with monoclonal and pseudomonoclonal gammopathy. Can Med Assoc J 1976; 114:231-232
19. De Troyer A, Stolarczyk A, Zegers de Beyl D, et al: Value of anion-gap determination in multiple myeloma. N Engl J Med 1977; 296:858-860
20. Schnur MJ, Appel GB, Karp G, et al: The anion gap in asymptomatic serum cell dyscrasia. Ann Intern Med 1977; 86:304-305
21. Keshgegian AA: Decreased anion gap in diffuse polyclonal hypergammaglobulinemia. N Engl J Med 1978; 299:99-100
22. O'Connor DT, Stone RA: Hyperchloremia and negative anion gap associated with polymyxin B administration. Arch Intern Med 1978; 138:478-480
23. Van Leeuwen AM: Net cation equivalency ("base binding power") of the serum proteins. Acta Med Scand Suppl 1964; 422:1-212
24. Van Slyke DD, Hasting AB, Hiller A, et al: Studies of gas and electrolyte equilibria in blood. XIV. amounts of alkali bound by serum albumin and globulin. J Biol Chem 1928; 79:769-780
25. Figge J, Rossing TH, Fencl V: The role of serum proteins in acid-base equilibria. J Lab Clin Med 1991; 117:453-467
26. Gabow PA: Disorders associated with an altered anion gap. Kidney Int 1985; 27:472-483
27. Weisberg LS: Pseudohyponatremia: a reappraisal. Am J Med 1989; 86:315
28. Vander HL, Vink CLJ: The influence of viscosity on dilution methods: its problems in the determination of serum sodium. Clin Chem Acta 1975; 65:379-387
29. Graber ML, Quigg RJ, Stemsey WE, et al: Spurious hyperchloremia and decreased anion gap in hyperlipidemia. Ann Intern Med 1983; 98:607-609
30. Elin RJ, Robertson EA, Johnson E: Bromide interferes with determination of chloride by each of four methods. Clin Chem 1981; 27:778-779
31. Faradji-Hazan V, Oster JR, Fedeman DG, et al: Effect of pyridostigmine bromide on serum bicarbonate concentration and the anion gap. J Am Soc Nephrol 1991; 1:1123-1125
32. Wacks I, Oster JR, Perez GO, et al: Spurious hyperchloremia and hyperbicarbonatemia in a patient receiving pyridostigmine bromide therapy for myasthenia gravis. Am J Kidney Dis 1990; 16:76-79
33. Rothenberg DM, Berns AS, Barkin R, et al: Bromide intoxication secondary to pyridostigmine bromide therapy. JAMA 1990; 263:1121-1122
34. Fishman RA, Fairclough GF, Cheigh JS: Iodide and negative anion gap. N Engl J Med 1978; 298:1035-1036
35. Dumler F, Tayeb J, Zasuwa G, et al: Low anion gap (AG) in renal transplant (RT) recipients (Abstract). J Am Soc Nephrol 1992; 3:326
36. Fischer MD, Rector FC Jr: Decreased anion gap in hyponatremia. N Engl J Med 1978; 298:111
37. Grunfeld C, Kottler DP, Namadeh R, et al: Hypertriglyceridemia in the acquired immunodeficiency syndrome. Am J Med 1989; 86:27-31
38. Chattha G, Arieff AI, Cummings C, et al: Lactic acidosis complicating the acquired immunodeficiency syndrome. Ann Intern Med 1993; 118:37-39
39. Olano JP, Borucki MJ, Wen JW, et al: Massive hepatic steatosis and lactic acidosis in a patient with AIDS who was receiving zidovudine. Clin Infect Dis 1995; 21:973-976
40. Fortgang IS, Belitsos PC, Chaisson RE, et al: Hepatomegaly and steatosis in HIV-infected patients receiving nucleoside analogue antiretroviral therapy. Am J Gastroenterol 1995; 90:1433-1436
41. Gopinath R, Hutcheon M, Cheema-Dhadli S, et al: Chronic lactic acidosis in a patient with acquired immunodeficiency syndrome and mitochondrial myopathy: biochemical studies. J Am Soc Nephrol 1992; 3:1212-1219