A Case of Distal Renal Tubular Acidosis Detected after Glue Sniffing / 대한신장학회잡지
Korean Journal of Nephrology
;
: 134-139, 1998.
Article
in Korean
| WPRIM
| ID: wpr-149150
ABSTRACT
We describe a case of distal renal tubular acidosis in a 20-year-old woman with a history of glue sniffing. On admission she complained of nausea and somnolence. Severe hypokalemia and hyperchloremic metabolic acidosis with normal anion gap were noted. Her urinary osmolar gap and anion gap results were consistent with presence of renal tubular acidosis. Bicarbonate loading test along with urine PCO2 confirmed that she had type 1 renal tubular acidosis due to hydrogen ion secretion defect. Immunohistochemical staining of renal biopsy specimen with anti H+-ATPase antibody showed absence of proton pump in the collecting duct. Thus a case of distal renal tubular acidosis in association with glue sniffing is reported with a review of literatures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Protons
/
Acid-Base Equilibrium
/
Toluene
/
Acidosis
/
Acidosis, Renal Tubular
/
Biopsy
/
Adhesives
/
Proton Pumps
/
Inhalant Abuse
/
Hypokalemia
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
1998
Type:
Article
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