Renal tubular acidosis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

History

Symptoms

The clinical manifestations of renal tubular acidosis depend upon the underlying etiology and type of acidosis.

Type of RTA
Distal renal tubular acidosis Recessive form Infancy
  • Severe hyperchloremic metabolic acidosis (serum bicarbonate levels may decrease below 10 mEq/L)
  • Moderate to severe hypokalemia (serum potassium ≤ 3.0 mEq/L)
  • Nephrocalcinosis
  • Vomiting
  • Dehydration
  • Poor growth
  • Rickets
Dominant form Adults
  • Common initial finding is renal stone or nephrocalcinosis
  • Mild or no acidosis
  • Mild to moderate hypokalemia
  • Poor growth
  • Bone disease
  • CKD
Proximal renal tubular acidosis
Mixed renal tubular acidosis (Type 3)
Aldosterone deficiency or resistance (Type 4)