Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis

We report the case of a female patient with incomplete distal renal tubular acidosis with nephrocalcinosis. She was admitted to the hospital because of acute pyelonephritis. Imaging studies showed dual medullary nephrocalcinosis. Subsequent evaluations revealed hypokalemia, hypocalcemia, hypercalciu...

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Autores principales: Choi, Joon Seok, Kim, Chang Seong, Park, Jeong Woo, Bae, Eun Hui, Ma, Seong Kwon, Kim, Soo Wan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chonnam National University Medical School 2011
Materias:
Images in Clinical Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252506/
https://www.ncbi.nlm.nih.gov/pubmed/22247918
http://dx.doi.org/10.4068/cmj.2011.47.3.170
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author Choi, Joon Seok
Kim, Chang Seong
Park, Jeong Woo
Bae, Eun Hui
Ma, Seong Kwon
Kim, Soo Wan
author_facet Choi, Joon Seok
Kim, Chang Seong
Park, Jeong Woo
Bae, Eun Hui
Ma, Seong Kwon
Kim, Soo Wan
author_sort Choi, Joon Seok
collection PubMed
description We report the case of a female patient with incomplete distal renal tubular acidosis with nephrocalcinosis. She was admitted to the hospital because of acute pyelonephritis. Imaging studies showed dual medullary nephrocalcinosis. Subsequent evaluations revealed hypokalemia, hypocalcemia, hypercalciuria, and hypocitraturia with normal acid-base status. A modified tubular acidification test with NH4Cl confirmed a defect of urine acidification, which is compatible with incomplete distal tubular acidosis. We treated our patient with potassium citrate, which corrects hypokalemia and prevents further deposition of calcium salts.
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spelling pubmed-32525062012-01-13 Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis Choi, Joon Seok Kim, Chang Seong Park, Jeong Woo Bae, Eun Hui Ma, Seong Kwon Kim, Soo Wan Chonnam Med J Images in Clinical Medicine We report the case of a female patient with incomplete distal renal tubular acidosis with nephrocalcinosis. She was admitted to the hospital because of acute pyelonephritis. Imaging studies showed dual medullary nephrocalcinosis. Subsequent evaluations revealed hypokalemia, hypocalcemia, hypercalciuria, and hypocitraturia with normal acid-base status. A modified tubular acidification test with NH4Cl confirmed a defect of urine acidification, which is compatible with incomplete distal tubular acidosis. We treated our patient with potassium citrate, which corrects hypokalemia and prevents further deposition of calcium salts. Chonnam National University Medical School 2011-12 2011-12-26 /pmc/articles/PMC3252506/ /pubmed/22247918 http://dx.doi.org/10.4068/cmj.2011.47.3.170 Text en © Chonnam Medical Journal, 2011 http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Images in Clinical Medicine
Choi, Joon Seok
Kim, Chang Seong
Park, Jeong Woo
Bae, Eun Hui
Ma, Seong Kwon
Kim, Soo Wan
Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis
title Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis
title_full Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis
title_fullStr Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis
title_full_unstemmed Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis
title_short Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis
title_sort incomplete distal renal tubular acidosis with nephrocalcinosis
topic Images in Clinical Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252506/
https://www.ncbi.nlm.nih.gov/pubmed/22247918
http://dx.doi.org/10.4068/cmj.2011.47.3.170
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