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 CASE REPORT
Year : 2013  |  Volume : 23  |  Issue : 6  |  Page : 452-455

Distal renal tubular acidosis and amelogenesis imperfecta: A rare association


1 Department of Pediatrics, Institute of Social Pediatrics, Stanley Medical College, Chennai, Tamil Nadu, India
2 Department of Nephrology, Stanley Medical College, Chennai, Tamil Nadu, India

Correspondence Address:
P Ravi
Department of Pediatrics Institute of Social Pediatrics, Stanley Medical College, Chennai - 600 001, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.120345

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Renal tubular acidosis (RTA) is characterized by a normal anion gap with hyperchloremic metabolic acidosis. Primary distal RTA (type I) is the most common RTA in children. Childhood presentation of distal RTA includes vomiting, failure to thrive, metabolic acidosis, and hypokalemia. Amelogenesis imperfecta (AI) represents a condition where the dental enamel and oral tissues are affected in an equal manner resulting in the hypoplastic or hypopigmented teeth. We report a 10-year-old girl, previously asymptomatic presented with the hypokalemic paralysis and on work-up found out to have type I RTA. The discoloration of teeth and enamel was diagnosed as AI.






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Indian Journal of Nephrology
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Online since 20th Sept '07