Lupus Nephritis (LN) is one of the most common and serious manifestations in SLE patients that causes significant morbidity and mortality. Current conventional biomarkers for lupus nephritis like urine sediments, proteinuria, anti-dsDNA antibodies and C3 or C4 are sometimes mislead for prediction of treatment response. Recently IL-2 R alpha has shown to be a good marker to predict treatment response of lupus nephritis.
This is an entrancing case report of extremely severe metabolic acidosis occurred to a 46-year-old female who was admitted to intensive care medicine, Ninewells hospital. She presented with vomiting and collapsed with significant deranged metabolic acidosis. Despite carrying very guarded prognosis on admission, fortunately she survived following effective management from multidisciplinary team in the hospital. This case describes the metabolic acidosis in association with the mortality including the clinical presentation, management and the outcome.
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