Chronic acetaminophen ingestion resulting in severe anion gap metabolic acidosis secondary to 5 oxoproline accumulation: an under diagnosed phenomenon BMJ Case Reports Metabolic regulation of 5 oxoproline for enhanced heat tolerance in perennial ryegrass Stress Biology Springer Nature Link Successful Early Treatment of 5 Oxoproline Metabolic Acidosis with N Acetylcysteine: A Case Report Recurrent Pyroglutamic Acidosis Related to Therapeutic Acetaminophen The American Journal of the Medical Sciences
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5-oxoproline glutathione View of Acetaminophen, the missing anion gap in the patient with metabolic acidosis