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10.6065/apem.2013.18.3.152

http://scihub22266oqcxt.onion/10.6065/apem.2013.18.3.152
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C4027071!4027071!24904870
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suck abstract from ncbi


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pmid24904870      Ann+Pediatr+Endocrinol+Metab 2013 ; 18 (3): 152-5
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  • Refractory rickets caused by mild distal renal tubular acidosis #MMPMID24904870
  • Lee JH; Park JH; Ha TS; Han HS
  • Ann Pediatr Endocrinol Metab 2013[Sep]; 18 (3): 152-5 PMID24904870show ga
  • Type I (distal) renal tubular acidosis (RTA) is a disorder associated with the failure to excrete hydrogen ions from the distal renal tubule. It is characterized by hyperchloremic metabolic acidosis, an abnormal increase in urine pH, reduced urinary excretion of ammonium and bicarbonate ions, and mild deterioration in renal function. Hypercalciuria is common in distal RTA because of bone resorption, which increases as a buffer against metabolic acidosis. This can result in intractable rickets. We describe a case of distal RTA with nephrocalcinosis during follow-up of rickets in a patient who presented with clinical manifestations of short stature, failure to thrive, recurrent vomiting, dehydration, and irritability.
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