Distal Renal Tubular Acidosis and Severe Hypokalemia

A Case Report and Review of the Literature

George Vasquez-Rios; David John Westrich Jr; Isaac Philip; John C. Edwards; Stephanie Shieh


J Med Case Reports. 2019;13(103) 

In This Article


This case highlights the importance of an early detection and physiology-based approach to dRTA. Accurate characterization of this condition is pivotal to uncover an underlying disease, tailor a specific therapy, and prevent further renal function decline. Episodes of symptomatic hypokalemia could be a clue for diagnosis and should be carefully addressed to prevent life-threatening complications. Evaluating the renal response to immunomodulatory therapy in SS is of paramount interest as it can lead to a progressive decline in renal function.