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Lactic Acidosis

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Acid-Base Disorders

Abstract

Although lactic acid and lactate are used interchangeably, it is the latter that circulates predominantly in the body at pH of 7.4. Lactate occurs in two stereoisomers or enantiomers: L-lactate and D-lactate (Fig. 5.1). L-lactate is the predominant stereoisomer in healthy subjects. D-lactate is usually synthesized from bacteria. In clinical laboratories, only L-lactate (simply lactate) is measured.

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Authors and Affiliations

  1. Professor of Medicine, Department of Medicine, Chief, Division of Nephrology and Hypertension, Rutgers New Jersey Medical School, Newark, NJ, USA

    Alluru S. Reddi

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  1. Alluru S. Reddi
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Reddi, A.S. (2020). Lactic Acidosis. In: Acid-Base Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-28895-2_5

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  • DOI: https://doi.org/10.1007/978-3-030-28895-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28894-5

  • Online ISBN: 978-3-030-28895-2

  • eBook Packages: MedicineMedicine (R0)

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