Indian pediatrics · 2016
Distal Renal Tubular Acidosis Associated with Celiac Disease and Thyroiditis.
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Satapathy Amit Kumar, Mittal Sapna, Jain Vandana
Аннотация
BACKGROUND: Association of distal renal tubular acidosis (RTA) with autoimmune diseases is extremely rare in children.
CASE CHARACTERISTICS: 12-year-old girl with distal RTA. Despite resolution of acidosis on bicarbonate, she continued to have poor growth and delayed puberty. Investigations revealed autoimmune thyroiditis and celiac disease.
OUTCOME: Levothyroxine and gluten-free diet were initiated. Child gained height and weight and had onset of puberty after gluten withdrawal.
MESSAGE: Distal RTA in children may rarely be of autoimmune etiology.
CASE CHARACTERISTICS: 12-year-old girl with distal RTA. Despite resolution of acidosis on bicarbonate, she continued to have poor growth and delayed puberty. Investigations revealed autoimmune thyroiditis and celiac disease.
OUTCOME: Levothyroxine and gluten-free diet were initiated. Child gained height and weight and had onset of puberty after gluten withdrawal.
MESSAGE: Distal RTA in children may rarely be of autoimmune etiology.