Document Detail

Renal tubular acidosis presenting as respiratory paralysis: report of a case and review of literature.
MedLine Citation:
PMID:  20228475     Owner:  NLM     Status:  MEDLINE    
Respiratory paralysis due to renal tubular acidosis (RTA) is rare. We report a 22-year-old lady who developed severe bulbar, respiratory and limb paralysis following respiratory infection. She had hypokalemia (1.6 meq/L) and hyperchloremic (110 meq/l) acidosis (pH 7.1). She was diagnosed as distal RTA by ammonium chloride test. She improved following sodium bicarbonate and potassium supplementation. RTA should be differentiated from familial periodic paralysis (FPP) because acetazolamide used in FPP aggravates RTA and sodium bicarbonate used in RTA aggravates hypokalemic periodic paralysis.
J Kalita; P P Nair; G Kumar; U K Misra
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Neurology India     Volume:  58     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  106-8     Citation Subset:  IM    
Department of Neurology, Sanjay Gandhi PGIMS, Lucknow, India.
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MeSH Terms
Acidosis, Renal Tubular / diagnosis*
Respiratory Paralysis / physiopathology*
Young Adult

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