%0 Journal Article
%A Arrabal-Polo, M.A.
%A Arrabal-Martin, M
%A Zuluaga-Gomez, A
%T Nephrocalcinosis in a patient with complete distal renal tubular acidosis.
%D 2010
%@ 0001-5512
%U http://hdl.handle.net/10668/1378
%X A 35-year-old patient, diagnosed with distal renal tubularacidosis (dRTA), presented with metabolic acidosis (pH =7.1)together with hypokalaemia (2.8 meq/l), hyperlipidaemia andrenal insuffi ciency (creatinine clearance = 60.8 ml/min). A 24 hurine examination showed an alkaline pH (7.5), hypercalciuria,hyperkaliuria hypocitraturia (1, 2 ,3). The patient was treatedwith potassium, citrate supplements and simvastatin . A typicalrenal colic occurred and an image study revealed considerablebilateral nephrocalcinosis, radio-opaque lithiasis in the left distallumbar ureter and the right mid lumbar ureter with severe leftureter-hydronephrosis. Ureteroscopy and laser lithotripsy of leftlumbar fragments were performed, continuing with the medicaltreatment (4).
%K Acidosis Tubular Renal
%K Litotripsia
%K Nefrocalcinosis
%K Adulto
%K Humanos
%K Tubular Renal Acidosis Distal
%~