Open AccessDistal renal tubular acidosis and amelogenesis imperfecta: A rare association
Author(s) -
P Ravi,
T S Ekambaranath,
Stefania Arasi,
Edwin Fernando
Publication year - 2013
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.120345
Subject(s) - medicine , amelogenesis imperfecta , distal renal tubular acidosis , hypokalemia , renal tubular acidosis , asymptomatic , presentation (obstetrics) , failure to thrive , acidosis , metabolic acidosis , endocrinology , dentistry , enamel paint , surgery
Renal tubular acidosis (RTA) is characterized by a normal anion gap with hyperchloremic metabolic acidosis. Primary distal RTA (type I) is the most common RTA in children. Childhood presentation of distal RTA includes vomiting, failure to thrive, metabolic acidosis, and hypokalemia. Amelogenesis imperfecta (AI) represents a condition where the dental enamel and oral tissues are affected in an equal manner resulting in the hypoplastic or hypopigmented teeth. We report a 10-year-old girl, previously asymptomatic presented with the hypokalemic paralysis and on work-up found out to have type I RTA. The discoloration of teeth and enamel was diagnosed as AI.