| A case of Distal Renal Tubular Acidosis. |
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Seong Gyoo Park, Gyung Min Ann, Sang Hee Park, Kwang Chul Lee, Chang Sung Son, Pyung Hwa Choi |
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Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea |
| 원위 신세뇨관 산혈증 1례 |
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박성규, 안경민, 박상희, 이광철, 손창성, 최평화 |
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고려대학교 의과대학 소아과학교실 |
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Received: 15 June 1989 • Accepted: 23 September 1989 |
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| Abstract |
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Distal Renal Tubular Acidosis is rare disease which is characterized by impaired renal acidification
at distal renal tubule and collecting duct. The urinary pH cannot be reduced below 5.8 despite severe
systemic acidosis.
A 6 months old boy was admitted to Ped. Dept, of Korea University Hospital due to fever and
tachypnea. IVP and abdominal sonography were normal. Laboratory data showed hyperchloremia
and metabolic acidosis. In spite of these data, urine pH was relatively alkali. Confirmatory diagnosis
was made by NaHCO3 loading test and NH4C1 loading test. Under the impression of distal renal
tubular acidosis, alkali therapy was done. Thereafter, the patient was improved. We report a case of
distal renal tubular acidosis with brief review of related literatures. |
| Key Words:
Distal renal tubular acidosis, Renal acidification |
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