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Metformin-associated lactic acidosis (MALA): case report

Hofkens PJ, De Winter S, Vanbrabant P

Acta clinica Belgica, 2011

Abstract

Metformin is the first-line therapy for the treatment of diabetes mellitus. In certain conditions lactic acidosis (MALA) can occur. Starting with a case report of a 62-year-old woman presenting with abdominal pain, we bring this complication to attention, describing its pathogenesis and its management. This underlines the need for thoughtful use of metformin.

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