Open AccessType 1 renal tubular acidosis in a patient of Type 1 diabetes mellitus: Is it coincidence or coexistence?
Author(s) -
Muzafar Naik,
Tariq A. Bhat,
Mubarik Naqash,
Mohd Lateef Wani,
Nazir Ahmad Dar,
Younis Shah
Publication year - 2012
Publication title -
indian journal of endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.456
H-Index - 28
eISSN - 2230-9500
pISSN - 2230-8210
DOI - 10.4103/2230-8210.94251
Subject(s) - ketonuria , diabetic ketoacidosis , medicine , anion gap , type 2 diabetes mellitus , diabetes mellitus , ketoacidosis , type 1 diabetes , metabolic acidosis , glycosuria , metabolic disorder , renal tubular acidosis , acidosis , type 2 diabetes , gastroenterology , endocrinology , pediatrics
A 26-year-old male patient suffering from Type 1 diabetes mellitus got admitted with abdominal pain and high blood sugars. On further evaluation, he was found to have normal anion gap metabolic acidosis without ketonuria and urinary pH was alkaline. The patient was diagnosed as Type 1 renal tubular acidosis (RTA) (distal RTA) and was managed by alkali replacement in addition to control of blood sugars. The association of Type 1 RTA with Type 1 diabetes mellitus has been rarely reported in the literature. The association needs a different attention as diagnosis and management of diabetic ketoacidosis in such cases will be tricky. The case presented here is the first of its kind from our part of the world and second as far as English literature is concerned.