https://www.cureus.com/articles/137179-5-oxoprolinemia-in-a-patient-with-severe-hypothyroidism-and-chronic-acetaminophen-use
5-oxoprolinemia is caused by a defect in the gamma-glutamyl pathway which can present with severe anion gap metabolic acidosis not caused by ketoacidosis, lactic acidosis, methanol/ethylene glycol ingestion, renal failure, ethanol, iron/isoniazid or salicylat…
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