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ISSN 2221-2434 (Electronic)

2016, Number 1

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Finlay 2016; 6 (1)

Distal renal tubular acidosis and hypokalemic paralysis. A case report and literature review

Serra VMÁ, Oliva VD, Landrián DA, Valdés FJL

Language: Spanish
References: 11
Page: 66-72
PDF size: 233.72 Kb.


ABSTRACT

Distal renal tubular acidosis, or type 1 renal tubular acidosis, is a rare condition that presents with hypokalemic paralysis. It can show an autosomal dominant or autosomal recessive pattern. The autosomal dominant form is less severe and appears during adolescence or adulthood. We present the case of a 42-year-old woman that began suffering from with weakness of the legs that spread to the arms and could no longer move her legs hours later. She also felt shortness of breath without other symptoms. Physical and neurological examination, blood gas analysis, electrolyte panel, urine test and recovery in 24 hours with potassium intake and correction of metabolic acidosis led to the diagnosis of distal renal tubular acidosis. It is a disorder rarely seen in clinical practice and nephrology services.


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