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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886 EISSN: 0028-3886
Vol. 58, No. 1, 2010, pp. 106-108
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Bioline Code: ni10022
Full paper language: English
Document type: Case Report
Document available free of charge
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Neurology India, Vol. 58, No. 1, 2010, pp. 106-108
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Renal tubular acidosis presenting as respiratory paralysis: Report of a case and review of literature
Kalita, J.; Nair, P. P.; Kumar, G. & Misra, U. K.
Abstract
Respiratory paralysis due to renal tubular acidosis (RTA) is rare. We report a 22-year-old lady who developed severe bulbar, respiratory and limb paralysis following respiratory infection. She had hypokalemia (1.6 meq/L) and hyperchloremic (110 meq/l) acidosis (pH 7.1). She was diagnosed as distal RTA by ammonium chloride test. She improved following sodium bicarbonate and potassium supplementation. RTA should be differentiated from familial periodic paralysis (FPP) because acetazolamide used in FPP aggravates RTA and sodium bicarbonate used in RTA aggravates hypokalemic periodic paralysis.
Keywords
Hypokalemia, paralysis, renal tubular acidosis, respiratory paralysis
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