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.
Koul
P A
PA
Department of Internal Medicine, SheriKashmir Institute of Medical Sciences, Soura, Srinagar 190 011, Kashmir, India. parvaizk@rediffmail.com
Wahid
A
A
Bhat
F A
FA
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