Indicators of Detoxification: The Assessment of Pyroglutamic Acid Great Plains Laboratory Mini Review Acetaminophen Toxicity and 5 Oxoproline (Pyroglutamic Acid): A Tale of Two Cycles, One an ATP Depleting Futile Cycle Chronic acetaminophen ingestion resulting in severe anion gap metabolic acidosis secondary to 5 oxoproline accumulation: an under diagnosed phenomenon BMJ Case Reports Acquired pyroglutamic acidaemia in a critically ill patient with chronic paracetamol use: A case report Lee Connolly, Ed Briggs, 2022
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5-oxoproline glutathione Pyroglutamic Acidemia: An Underrecognized and Underdiagnosed Cause of High Anion Gap Metabolic Acidosis - A Case Report and Review of Literature