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BMJ Case Rep. 2010; 2010: bcr10.2009.2319.
Published online 2010 April 20. doi:  10.1136/bcr.10.2009.2319
PMCID: PMC3047286
Reminder of important clinical lesson

Lactate: panicking doctor or panicking patient?


We report a case of a 51-year-old man with a first panic attack associated with high serum lactate due to hyperventilation induced alkalosis. Hyperlactataemia may trigger somatically oriented tests and divert attention from diagnosing panic disorder (PD). Factors associated with underdiagnosis of PD as well as pathophysiology of hyperlactataemia will be discussed.

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