Distal renal tubular acidosis secondary to Vesico-ureteric reflux : a case report with review of literature
Joint Authors
Bharani, Anjali
Bharani, Tanmay
Bharani, Rajesh
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 29, Issue 5 (31 Oct. 2018), pp.1240-1244, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2018-10-31
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Abstract EN
Vesicoureteric reflux (VUR) is the most common congenital anomaly of the urinary tract that occurs in 30%–50% of children presenting with recurrent urinary tract infections.
Long-standing untreated VUR results in renal scarring and hydronephrotic changes ultimately leading to chronic renal failure and arterial hypertension.
However, it may also result in diffuse tubulopathy compromising the concentrating capacity of tubules and urinary acidification defects.
Renal tubular dysfunction should be considered in all children with VUR presenting with failure to thrive, rickets, bony deformity/pain, hypokalemia, and metabolic acidosis.
We report such a case of a 16-year-old male adolescent who presented with rickets, failure to gain weight and height, bony pains, and muscle weakness with a history of VUR.
On investigation, he was found to have normal anion gap metabolic acidosis with hypokalemia suggestive of distal renal tubular acidosis.
He responded well to oral alkali and potassium replacement therapy.
American Psychological Association (APA)
Bharani, Anjali& Bharani, Tanmay& Bharani, Rajesh. 2018. Distal renal tubular acidosis secondary to Vesico-ureteric reflux : a case report with review of literature. Saudi Journal of Kidney Diseases and Transplantation،Vol. 29, no. 5, pp.1240-1244.
https://search.emarefa.net/detail/BIM-957488
Modern Language Association (MLA)
Bharani, Anjali…[et al.]. Distal renal tubular acidosis secondary to Vesico-ureteric reflux : a case report with review of literature. Saudi Journal of Kidney Diseases and Transplantation Vol. 29, no. 5 (Sep. / Oct. 2018), pp.1240-1244.
https://search.emarefa.net/detail/BIM-957488
American Medical Association (AMA)
Bharani, Anjali& Bharani, Tanmay& Bharani, Rajesh. Distal renal tubular acidosis secondary to Vesico-ureteric reflux : a case report with review of literature. Saudi Journal of Kidney Diseases and Transplantation. 2018. Vol. 29, no. 5, pp.1240-1244.
https://search.emarefa.net/detail/BIM-957488
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1244
Record ID
BIM-957488