Satapathy, Amit KumarMittal, SapnaJain, Vandana2016-12-052016-12-052016-11Amit 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.http://imsear.searo.who.int/handle/123456789/179337Background: 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.enAutoimmune diseasesHypothyroidismMetabolic acidosisRefractory ricketsArticle