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 CASE REPORT
Year : 2010  |  Volume : 58  |  Issue : 1  |  Page : 106--108

Renal tubular acidosis presenting as respiratory paralysis: Report of a case and review of literature


Department of Neurology, Sanjay Gandhi PGIMS, Lucknow, India

Correspondence Address:
J Kalita
Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareily Road, Lucknow - 226 014
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.60415

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Respiratory paralysis due to renal tubular acidosis (RTA) is rare. We report a 22-year-old lady who developed severe bulbar, respiratory and limb paralysis following respiratory infection. She had hypokalemia (1.6 meq/L) and hyperchloremic (110 meq/l) acidosis (pH 7.1). She was diagnosed as distal RTA by ammonium chloride test. She improved following sodium bicarbonate and potassium supplementation. RTA should be differentiated from familial periodic paralysis (FPP) because acetazolamide used in FPP aggravates RTA and sodium bicarbonate used in RTA aggravates hypokalemic periodic paralysis.






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Online since 20th March '04
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