Distal Renal Tubular Acidosis Complicated with Periodic Hypokalemic Paralysis.
- Author:
Jee Min PARK
1
;
Byoung Ho NOH
;
Jae Il SHIN
;
Myung Jun KIM
;
Jae Seung LEE
Author Information
1. Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine, Seoul, Korea. jsyonse@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Acute hypokalemic periodic paralysis;
Distal renal tubular acidosis
- MeSH:
Acidosis, Renal Tubular*;
Child;
Child, Preschool;
Extremities;
Female;
Humans;
Hypokalemia;
Paralysis*;
Potassium;
Rhabdomyolysis
- From:Journal of the Korean Society of Pediatric Nephrology
2004;8(1):63-67
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 5-year-old girl was admitted because of an acute onset of weakness in her extremities. She had experienced a similar episode before but had recovered spontaneously. She had previously been diagnosed with distal renal tubular acidosis(RTA) at the age of 2 months. During the period of acute paralysis, her serum potassium level was 1.8 mmol/L and the muscle enzymes were markedly raised suggesting massive rhabdomyolysis. Although hypokalemia is common in renal tubular acidosis, acute paralytic presentation is uncommon and is rarely described in children. We report a case of distal RTA complicated with hypokalemic paralysis with a brief review of related literatures.
