PATHOLOGICAL PEDIATRIC DIAPHYSEAL FEMUR FRACTURE SECONDARY TO DISTAL RENAL TUBULAR ACIDOSIS : A CASE REPORT
Journal: International Journal of Surgery and Surgical Sciences (Vol.1, No. 3)Publication Date: 2013-11-01
Authors : Mohit Garg; Hemendra K. Agrawal; Ashish Jaiman; Jatin Talwar; Vinod K. Sharma;
Page : 129-134
Keywords : Distal renal tubular acidosis; Pathological fracture; Ricket; Osteomalacia; Nephrocalcinosis; Diaphyseal femur fracture.;
Abstract
Distal renal tubular acidosis (RTA type I) is a rare renal disorder characterized by hypokalemia and non-anion gap hyperchloremic metabolic acidosis. RTA often presents with renal stone disease with nephrocalcinosis, ricket/osteomalacia and growth retardation in children with ultimate short stature in adulthood. The case reported by us has distal renal tubular acidosis with hypokalemic metabolic acidosis with bilateral nephrolithiasis with rickets with pathological fracture shaft of right femur. All these features presenting in a single case (as in our case) is a rare occurrence, so far other cases of distal renal tubular acidosis (dRTA) have been reported.
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