Primary gradient defect distal renal tubular acidosis presenting as hypokalaemic periodic paralysis.
A 45 year old man presented with recurrent hypokalaemic paralysis. Laboratory investigations revealed renal tubular acidosis as the cause of the hypokalaemia, and dynamic tubular studies suggested a gradient defect as the underlying cause. The patient had associated dextrocardia. To our knowledge, this is the first report of this condition.
Department of Internal Medicine, SheriKashmir Institute of Medical Sciences, Soura, Srinagar 190 011, Kashmir, India. parvaizk@rediffmail.com
P A
PA
Koul
A
A
Wahid
F A
FA
Bhat
D000141:Acidosis, Renal Tubular / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D020514:Hypokalemic Periodic Paralysis / Q000209:etiology*; D007677:Kidney Function Tests / Q000379:methods; D007686:Kidney Tubules, Distal / Q000503:physiopathology; D008297:Male; D008875:Middle Aged