Table 4.

Main causes of high anion gap metabolic acidosis

	High anion gap metabolic acidosis (GOLD MARK)
G	Glycols (ethylene and propylene)
O	5-Oxoproline (pyroglutamic acid) chronic paracetamol use, EtOH, poor nutrition, vegetarian diet, renal failure, infection, flucloxacillin/dicloxacillin/netilmicin, Vigabatrin
L	Lactate
D	D-lactic acid Associated with short bowel syndrome
M	Methanol and other toxins (ethanol, Aldehyde)
A	Aspirin, salicylates
R	Renal failure
K	Ketoacidosis

EtOH, ethyl alcohol,.