prolonged paralysis as an unusual presentation of renal tubular acidosis

Authors

a derakhshan from the division of pediatric nephrology, department of pediatrics, shiraz university of medical sciences, shiraz, i.r. iran.

gb hashemi from the division of pediatric nephrology, department of pediatrics, shiraz university of medical sciences, shiraz, i.r. iran.

abstract

a case of renal tubular acidosis (rta) who had gradual onset of paralysis of lower extremities and persisted for a long time is presented. his primary workups were mistaken for muscular dystrophy. eventually, an abdominal ultrasonography revealed small stones in both of the kidneys and his workup for the stones were in favor of distal renal tubular acidosis and advanced rickets with hypokalemia. he had a dramatic response to alkaline therapy. there are many reports of periodic paralysis in rta but no report of prolonged paralysis is found in the literature.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

PROLONGED PARALYSIS AS AN UNUSUAL PRESENTATION OF RENAL TUBULAR ACIDOSIS

A case of renal tubular acidosis (RTA) who had gradual onset of paralysis of lower extremities and persisted for a long time is presented. His primary workups were mistaken for muscular dystrophy. Eventually, an abdominal ultrasonography revealed small stones in both of the kidneys and his workup for the stones were in favor of distal renal tubular acidosis and advanced rickets with hypokal...

full text

An Unusual Initial Presentation of Sjögren's Syndrome: Severe Hypokalemic Paralysis Secondary to Distal Renal Tubular Acidosis.

Sjögren's syndrome is mainly affects the exocrine glands. Patients usually complain of persistent dryness of the mouth and eyes. However, nonexocrine organs such as the kidneys are often affected in these patients. Distal renal tubular acidosis (dRTA) and interstitiel nephritis are common in Sjögren's syndrome. Nonetheless, severe hypokalemia and paralysis secondary to dRTA are unusual initial ...

full text

Renal tubular acidosis with muscle paralysis.

Four patients are described who were admitted at The Aga Khan University Hospital exhibiting muscle paralysis and hypokalemia in association with renal tubular disease. All four patients responded well to treatment. The purpose of this report is to describe the clinical features demonstratedby these patients, to discuss etiology and mechanism of the disease and to emphasize the importance of ea...

full text

Paralysis due to renal hypokalaemia: an unusual presentation of leptospirosis.

antihypertensive agent was given intravenously and the procedure and recovery was uneventful. We do agree that MTP and tumor excision should have been done simultaneously or tumor excision before MTP but the patient due to personal reasons had initially refused surgical excision of tumor. Only after developing hypertensive crisis she and her relatives realized the severity of her disease and we...

full text

Renal tubular acidosis.

Renal tubular acidosis is a relatively uncommon clinical syndrome characterized by the inability of the kidney to adequately excrete hydrogen ions, retain adequate bicarbonate, or both. This syndrome can be categorized into 3 separate disorders, each with unique clinical characteristics. Although an uncommon finding, prompt and inexpensive tests can lead to early intervention and subsequently r...

full text

Renal tubular acidosis.

In the past decade major advances in our understanding of renal tubular hydrogen ion secretion and bicarbonate reabsorption have provided new insight into the pathophysiology of renal tubular acidosis. Thus "fragment to fragment clings" and the number of disorders categorized within the syndrome grows, until we have come to know and name four types, with many subtypes. We hope this new perspect...

full text

My Resources

Save resource for easier access later


Journal title:
medical journal of islamic republic of iran

جلد ۱۶، شماره ۴، صفحات ۲۳۱-۲۳۳

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023