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Renal Tubular Acidosis in the Postpartum Period: A Case Report and Literature Review
Author(s) -
Carlos Durán,
Mayra Estacio,
Fredy Lozano,
Esteban Echeverri,
Maria Juliana Riascos,
Juan G. Posada,
Johanna Schweineberg
Publication year - 2021
Publication title -
case reports in nephrology
Language(s) - English
Resource type - Journals
eISSN - 2090-6641
pISSN - 2090-665X
DOI - 10.1155/2021/6693013
Subject(s) - distal renal tubular acidosis , hypokalemia , nephrocalcinosis , medicine , metabolic acidosis , renal tubular acidosis , anion gap , endocrinology , acidosis , nephron , kidney
Case Presentation . Distal renal tubular acidosis (dRTA) is characterized by impaired hydrogen ion secretion in the distal nephron resulting either from decreased net activity of the proton pump or from increased luminal membrane hydrogen ion permeability. Typical complications of dRTA include severe hypokalemia, normal anion gap metabolic acidosis, nephrolithiasis, and nephrocalcinosis. The patient is a 25-year-old woman in immediate puerperium with hypokalemia leading to paralysis, and the laboratory findings in this patients were concerning for dRTA. It is rare to encounter this entity during pregnancy, and the impact of this pathology is unknown.

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