Transport of Organic Acids across Cell Membrane

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To the Editor: Since the Journal is so widely used for instructional purposes, it should be incumbent to the authors and their editors to be particularly careful to avoid errors and misconceptions that might be accepted by the Journal's readers as gospel. For some reason, the teaching of acid–base balance and the concepts of pH and dissociation are among the more difficult segments of the medical curriculum, and I was therefore mildly horrified to read in a recent article on diabetic ketoacidosis by P. Felig (N Engl J Med 290:1360–1363, 1974) the following description of the pathogenesis of acidosis: "The . . .

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