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Journal of the Korean Society of Pediatric Nephrology 2004;8(1): 63-67.
원위 신세뇨관성 산증에 합병된 급성 주기성 저칼륨혈증 마비 1례
박지민, 노병호, 신재일, 김명준, 이재승
1연세대학교 의과대학 소아과학교실, 신장질환연구소
2연세대학교 의과대학 소아과학교실, 신장질환연구소
3연세대학교 의과대학 소아과학교실, 신장질환연구소
4연세대학교 의과대학 진단방사선과학교실
5연세대학교 의과대학 소아과학교실, 신장질환연구소
Distal Renal Tubular Acidosis Complicated with Periodic Hypokalemic Paralysis
Jee-Min Park, Byoung-Ho Noh, Jae-Il Shin, Myung-Jun Kim, Jae-Seung Lee
1Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
2Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
3Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
4Department of Diagnostic Radiology, Yonsei University College of Medicine
5Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
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ABSTRACT
A 5-year-old girl was admitted because of an acute onset of weakness in her extremities. She had experienced a similar episode before but had recovered spontaneously. She had previously been diagnosed with distal renal tubular acidosis(RTA) at the age of 2 months. During the period of acute paralysis, her serum potassium level was 1.8 mmol/L and the muscle enzymes were markedly raised suggesting massive rhabdomyolysis. Although hypokalemia is common in renal tubular acidosis, acute paralytic presentation is uncommon and is rarely described in children. We report a case of distal RTA complicated with hypokalemic paralysis with a brief review of related literatures.
Key words: Acute hypokalemic periodic paralysis | Distal renal tubular acidosis
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A Case of Proximal Renal Tubular Acidosis Accompanied by Vitamin D Deficient Rickets  2006 April;10(1)
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