Pyroglutamic acid Wikipedia Pro GA Cell permeable GGCT inhibitor,FDV 0019 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 Accumulation of 5 oxoproline in myocardial dysfunction and the protective effects of OPLAH Science Translational Medicine Refractory high anion gap metabolic acidosis due to chronic paracetamol use: a case report Journal of Medical Case Reports Springer Nature Link
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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