RT Journal Article
T1 Nephrocalcinosis in a patient with complete distal renal tubular acidosis.
A1 Arrabal-Polo, M.A.
A1 Arrabal-Martin, M
A1 Zuluaga-Gomez, A
K1 Acidosis Tubular Renal
K1 Litotripsia
K1 Nefrocalcinosis
K1 Adulto
K1 Humanos
K1 Tubular Renal Acidosis Distal
AB 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).
PB ACTA CLINICA BELGICA
SN 0001-5512
YR 2010
FD 2010-08
LK http://hdl.handle.net/10668/1378
UL http://hdl.handle.net/10668/1378
LA en
NO Sección: Image en Medicine
DS RISalud
RD Apr 4, 2025