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KMID : 0880520110470030170
Chonnam Medical Journal
2011 Volume.47 No. 3 p.170 ~ p.172
Incomplete Distal Renal Tubular Acidosis with Nephrocalcinosis
Choi Joon-Seok

Kim Chang-Seong
Park Jeong-Woo
Bae Eun-Hui
Ma Seong-Kwon
Kim Soo-Wan
Abstract
We report the case of a female patient with incomplete distal renal tubular acidosis with nephrocalcinosis. She was admitted to the hospital because of acute pyelonephritis. Imaging studies showed dual medullary nephrocalcinosis. Subsequent evaluations revealed hypokalemia, hypocalcemia, hypercalciuria, and hypocitraturia with normal acid-base status. A modified tubular acidification test with NH4Cl confirmed a defect of urine acidification, which is compatible with incomplete distal tubular acidosis. We treated our patient with potassium citrate, which corrects hypokalemia and prevents further deposition of calcium salts.
KEYWORD
Renal tubular acidosis, Nephrocalcinosis, Kidney
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