Full article: What is the clinical significance of 5 oxoproline (pyroglutamic acid) in high anion gap metabolic acidosis following paracetamol (acetaminophen) exposure? Recurrent Pyroglutamic Acidosis Related to Therapeutic Acetaminophen The American Journal of the Medical Sciences Chronic acetaminophen ingestion resulting in severe anion gap metabolic acidosis secondary to 5 oxoproline accumulation: an under diagnosed phenomenon BMJ Case Reports 5 Oxoprolinemia in a Patient With Severe Hypothyroidism and Chronic Acetaminophen Use Cureus
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