高钠血症掩盖原发性斯约格伦综合征诱发的远端肾小管酸中毒病例

IF 0.5 Q4 UROLOGY & NEPHROLOGY

Saudi Journal of Kidney Diseases and Transplantation Pub Date : 2023-09-01 Epub Date: 2024-03-11 DOI:10.4103/1319-2442.397208

Chinmaye Sapre, Abhishek Prajapati, Rohan Parikh

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引用次数: 0

摘要

远端肾小管酸中毒（dRTA）又称 1 型肾小管酸中毒，是一种罕见的疾病。它主要是由于无法分泌 H+ 离子而引起的。dRTA 的病因可分为原发性和继发性。继发性肾小管性酸中毒最常见的继发病因是斯约格伦综合征（Sjögren syndrome）。在这里，我们介绍了一名因高钠血症导致高阴离子间隙性代谢性酸中毒而被斯约格伦综合征所掩盖的患者。

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Hypernatremia Masking a Case of Primary Sjögren Syndrome-induced Distal Renal Tubular Acidosis.

Distal renal tubular acidosis (dRTA), also known as Type 1 renal tubular acidosis, is a rare disorder. It primarily occurs through the inability to secrete H+ ions. The causes of dRTA can be divided into primary and secondary. The most common secondary cause of dRTA is Sjögren syndrome. dRTA typically presents as hypokalemia with non-anion gap metabolic acidosis. Here, we present a patient where Sjögren's syndrome causing dRTA was masked by the presence of hypernatremia causing metabolic acidosis with a high anion gap.

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来源期刊

Saudi Journal of Kidney Diseases and Transplantation UROLOGY & NEPHROLOGY-

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

53 weeks

期刊介绍： Saudi Journal of Kidney Diseases and Transplantation (SJKDT, ISSN 1319-2442) is the official publication of the Saudi Center for Organ Transplantation, Riyadh, Saudi Arabia. It is published six times a year. SJKDT publishes peer-reviewed original research work and review papers related to kidney diseases, urinary tract, renal replacement therapies, and transplantation. The journal publishes original papers and reviews on cell therapy and islet transplantation, clinical transplantation, experimental transplantation, immunobiology and genomics and xenotransplantation related to the kidney. The journal also publishes short communications, case studies, letters to the editors, an annotated bibliography and a column on news and views.