title: Distal Renal Tubular Acidosis Associated with Celiac Disease and Thyroiditis.
abstract: BACKGROUND
  Association of distal renal tubular acidosis (RTA) with autoimmune diseases is extremely rare in children.
  
  
  METHODS
  12-year-old girl with distal RTA. Despite resolution of acidosis on bicarbonate, she continued to have poor growth and delayed puberty. Investigations revealed autoimmune thyroiditis and celiac disease.
  
  
  RESULTS
  Levothyroxine and gluten-free diet were initiated. Child gained height and weight and had onset of puberty after gluten withdrawal.
  
  
  CONCLUSIONS
  Distal RTA in children may rarely be of autoimmune etiology.
authors.affiliation: Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. Correspondence to: Dr Vandana Jain, Additional Professor, Division of Pediatric Endocrinology, Department of Pediatrics, AIIMS, New Delhi 110 029, India. drvandanajain@gmail.com.
authors.forename: Amit Kumar
authors.initials: AK
authors.lastname: Satapathy
authors.forename: Sapna
authors.initials: S
authors.lastname: Mittal
authors.forename: Vandana
authors.initials: V
authors.lastname: Jain
mesh_terms: D000141:Acidosis, Renal Tubular; D002446:Celiac Disease; D002648:Child; D005260:Female; D006801:Humans; D063730:Rickets, Hypophosphatemic; D013966:Thyroiditis