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Digitale Medien

Type 4 renal tubular acidosis (subtype 2) in a patient with methylmalonic acidaemia (1990)

Ohura, T. ; Kikuchi, M. ; Abukawa, D. ; [weitere]

Springer

European journal of pediatrics 150 (1990), S. 115-118

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ISSN: 1432-1076

Schlagwort(e): Methylmalonic acidaemia ; Type 4 renal tubular acidosis ; Chronic renal disease ; Tubulo-interstitial nephritis ; Hyporeninaemia

Quelle: Springer Online Journal Archives 1860-2000

Thema: Medizin

Notizen: Abstract A 10-month-old male infant with vitamin B12 non-responsive methylmalonic acidaemia is reported. Laboratory results revealed hyperkalaemic, hyperchloraemic, metabolic acidosis with slight azotaemia. The urinary pH decreased (below 5.5) to compensate for acidaemia. Levels of plasma renin activity and plasma aldosterone concentration were low. The renal biopsy showed tubulo-interstitial nephritis. We suggested the diagnosis of type 4 renal tubular acidosis, subtype 2, i.e. hyporeninaemic hypoaldosteronism. We suggest that chronic renal disease may be a common complication of methylmalonic acidaemia.

Materialart: Digitale Medien

URL: http://dx.doi.org/10.1007/BF02072052

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