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KMID : 0828520130170030147
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Journal of the Korean Geriatrics Society
2013 Volume.17 No. 3 p.147 ~ p.151
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A Case of Renal Tubular Acidosis associated with Graves` Disease
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Sim Eun-Hee
Shin Young-Shin
Park Min-Gyu
Yeo Chang-Woo
Kang Jin-Du
Youn Sung-Oon
Lee Kwang-Jae
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Abstract
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Renal tubular acidosis (RTA) is a metabolic acidosis caused by impaired excretion of hydrogen ion or reabsorption of bicarbonate. Disorders caused by impairment of bicarbonate reabsorption by the proximal tubule are classified as proximal RTA, whereas those resulted by impairment of hydrogen ion secretion at distal tubule are called distal RTA. The most common causes of distal renal tubular acidosis in adults are autoimmune disorders such as Sj?gren syndrome, systemic lupus erythematosis, rheumatoid arthritis and autoimmune thyroiditis. Among thyroiditis, Graves’ disease associated RTA is rare disease. We have experienced 1 case of hypokalemic muscle weakness associated with Graves’ disease and distal renal tubular acidosis.
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KEYWORD
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Renal tubular acidosis, Graves disease, Hypokalemia, Paralysis
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