Distal Renal Tubular Acidosis Associated with Celiac Disease and Thyroiditis.

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Date
2016-11
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Abstract
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. Messages: Distal RTA in children may rarely be of autoimmune etiology.
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Keywords
Autoimmune diseases, Hypothyroidism, Metabolic acidosis, Refractory rickets
Citation
Amit Kumar Satapathy, Sapna Mittal and Vandana Jain. Distal Renal Tubular Acidosis Associated with Celiac Disease and Thyroiditis. Indian Pediatrics. 2016 Nov; 53(11): 1013-1014.