Metabolic alkalosis induced by plasmapheresis in a patient with systemic lupus erythematosus.
10.3346/jkms.1993.8.3.207
- Author:
Moon Young CHOI
1
;
Joung Deuk LEE
;
Seung Hun LEE
;
In Seok PARK
;
Je Young WOO
;
Euy Jin CHOI
;
Yoon Sik CHANG
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Metabolic alkalosis;
Systemic lupus erythematosus Plasmapheresis
- MeSH:
Adolescent;
Alkalosis/*etiology;
Citrates;
Citric Acid;
Female;
Humans;
Lupus Erythematosus, Systemic/*metabolism/therapy;
Plasmapheresis/*adverse effects/methods
- From:Journal of Korean Medical Science
1993;8(3):207-209
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a patient with systemic lupus erythematosus (SLE), who had developed metabolic alkalosis during plasmapheresis. The metabolic alkalosis could be promptly corrected by reducing the amount of citrate load. The development of metabolic alkalosis can be explained by the citrate load during plasmapheresis. Careful monitoring of acid base status is mandatory in patients with limited renal function and the reduction of citrate load may be advisable in plasmapheresis.