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Renal Tubular Acidosis with Hypokalaemic Paralysis and Nephrolitiasis [Medeniyet Med J]
Medeniyet Med J. 2001; 16(4): 241-244

Renal Tubular Acidosis with Hypokalaemic Paralysis and Nephrolitiasis

Nail Bambul1, Ayşe N. Erbakan1, Nilüfer Soner1, Zeliha Aksoy1, M. Kemal Özbek2, Gamze Gököz Doğu1
1SSK Goztepe Hospital, 3. Internal Service, Istanbul
2SSK Hospital Luleburgaz, Kırklareli

Hypokalaemic paralysis is a life-threatening clinical syndrome characterised clinically by hipokalaemia and acute systemic weakness. It represents a heterogeneous group of
disorders, most of them are familial. Sporadic cases are associated with numerous disorders including renal disorders, barium poisoning, hyperthyroidism, certain endocrinopathies and gastrointestinal potassium losses. Initial therapy of the
patient with hypokalaemic paralysis includes potassium replacement and search for underlying aetiology (1). The recurrent attacks with normal plasma potassium levels
between attacks distinguish periodic paralysis from other causes (2). The presence of type 1 RTA should be considered in any patient with a normal anion gap metabolic acidosis and an inappropriate high urine pH (3). The complications to renal tubular acidosis including hypokalaemic muscle paralysis or chronic muscle weakness, nephrolitiasis, and osteomalacia can be avoided if the diagnosis of renal tubular acidosis
is made and corrective alkali therapy is maintained (4).

Keywords: Hypokalaemic paralysis, distal renal tubular acidosis, nephrolitiasis


Hipokalemik Paralizi ve Nefrolitiyazis ile Seyreden Bir Distal Renal Tubuler Asidoz

Nail Bambul1, Ayşe N. Erbakan1, Nilüfer Soner1, Zeliha Aksoy1, M. Kemal Özbek2, Gamze Gököz Doğu1
1SSK Göztepe Eğtim Hastanesi 3. Dahiliye Servisi, İstanbul
2SSK Lüleburgaz Hastanesi, Kırklareli

Anahtar Kelimeler: Hipokalemik paralizi, distal renal tübüler asidoz, nefrolitiyazis


Nail Bambul, Ayşe N. Erbakan, Nilüfer Soner, Zeliha Aksoy, M. Kemal Özbek, Gamze Gököz Doğu. Renal Tubular Acidosis with Hypokalaemic Paralysis and Nephrolitiasis. Medeniyet Med J. 2001; 16(4): 241-244

Corresponding Author: Nail Bambul, Türkiye


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