Spot Diagnosis

Distal Renal Tubular Acidosis

KP Kulkarni, S Kaur
Department of Pediatrics, PGIMER, Chandigarh, India

Address for Correspondence: Dr Ketan P Kulkarni, APC, PGIMER, Chandigarh, India
Email: ketanpkulkarni@gmail.com
Question :
A 2 year old male child with failure to thrive and polyuria. He has non-anion gap metabolic acidosis with hypokalemia. Urine pH was More than 5.5.



What is the diagnosis?

Discussion :
X-ray shows bilateral medullary nephrocalcinosis. The etiological diagnosis of medullary nephrocalcinosis included distal Renal Tubular Acidosis {RTA}, hyperparathyroidism, hyperthyroidism, hypercalciuria, vitamin D intoxication, frusemide. Other rarer causes include sarcoidosis, renal trauma, fungal infections of kidney and immobilization. In this child the diagnosis is Distal RTA.

E-published: April 2009, Vol 6, Issue 4, Art # 22

Correct Answers : yes  48%

Last Shown : Apr 2009
 
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0