spurious hyperchloremia and negative anion gap in a child with refractory epilepsy
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ID: 195661
2016
We report a case with spurious hyperchloremia with negative anion gap in a child who was taking potassium bromide for refractory epilepsy. Blood chemistry showed a high chloride level (171 mEq/L) and a negative anion gap (−52 mEq/L). Plasma chloride concentration is measured by an ion-selective electrode method; however the presence of other anions like bromide and iodides can interfere with chloride level and largely overestimates the chloride concentration. Thus hyperchloremia with a negative anion gap is a clue to the diagnosis of halides like bromide and iodide ingestion.
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chegondi2016casespurious
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| Authors | ;Madhuradhar Chegondi;Balagangadhar R. Totapally |
| Journal | trendy ekonomiky a managementu |
| Year | 2016 |
| DOI | 10.1155/2016/7015463 |
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