Urinary citrate: helpful to predict acid retention in CKD patients?
Author(s) -
Caroline ProtBertoye,
Marion Vallet,
Pascal Houillier
Publication year - 2019
Publication title -
kidney international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.499
H-Index - 276
eISSN - 1523-1755
pISSN - 0085-2538
DOI - 10.1016/j.kint.2019.01.019
Subject(s) - urology , urinary system , medicine , citric acid , chemistry , biochemistry
Acid retention occurs early during the course of chronic kidney disease (CKD). Studies conducted in patients with CKD suggest that alkali supplementation may slow CKD progression. However, the diagnosis of acid retention is challenging when plasma bicarbonate concentration is still normal. In this issue, Goraya et al. suggest that urinary citrate may predict acid retention in eubicarbonatemic patients with stages 1 and 2 CKD . Although interesting, this claim yet requires confirmation by further studies.
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