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Title: Nephrocalcinosis in a patient with complete distal renal tubular acidosis.
Authors: Arrabal-Polo, M.A.
Arrabal-Martin, M
Zuluaga-Gomez, A
metadata.dc.contributor.authoraffiliation: [Arrabal-Polo,M A; Arrabal-Martín,M; Zuluaga-Gomez,A] Departament of Urology, San Cecilio University Hospital, Granada, Spain
Keywords: Acidosis Tubular Renal;Litotripsia;Nefrocalcinosis;Adulto;Humanos;Tubular Renal Acidosis Distal
metadata.dc.subject.mesh: Medical Subject Headings::Named Groups::Persons::Age Groups::Adult
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Ultrasonic Surgical Procedures::Lithotripsy
Medical Subject Headings::Diseases::Male Urogenital Diseases::Urologic Diseases::Kidney Diseases::Nephrocalcinosis
Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Acid-Base Imbalance::Acidosis::Acidosis, Renal Tubular
Issue Date: Aug-2010
Abstract: A 35-year-old patient, diagnosed with distal renal tubular acidosis (dRTA), presented with metabolic acidosis (pH =7.1) together with hypokalaemia (2.8 meq/l), hyperlipidaemia and renal insuffi ciency (creatinine clearance = 60.8 ml/min). A 24 h urine examination showed an alkaline pH (7.5), hypercalciuria, hyperkaliuria hypocitraturia (1, 2 ,3). The patient was treated with potassium, citrate supplements and simvastatin . A typical renal colic occurred and an image study revealed considerable bilateral nephrocalcinosis, radio-opaque lithiasis in the left distal lumbar ureter and the right mid lumbar ureter with severe left ureter-hydronephrosis. Ureteroscopy and laser lithotripsy of left lumbar fragments were performed, continuing with the medical treatment (4).
Description: Sección: Image en Medicine
ISSN: 0001-5512
Appears in Collections:01- Artículos - Hospital San Cecilio

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