• Neth J Med · Jan 2011

    Case Reports

    Life-threatening hypokalaemic paralysis associated with distal renal tubular acidosis.

    • M Vendeloo, Aarnoudse A L H J AL, and E F H van Bommel.
    • Department of Internal Medicine, Albert Schweitzer Hospital, Dordrecht, the Netherlands. m.vendeloo@asz.nl
    • Neth J Med. 2011 Jan 1; 69 (1): 35-8.

    AbstractA 56-year-old woman developed acute respiratory failure requiring mechanical ventilation due to acute hypokalaemic paralysis. There was no gastrointestinal potassium loss nor was she taking diuretics. Additional analyses revealed a normal anion gap metabolic acidosis with a positive urine anion gap. An acid-load test revealed a renal urine acidification defect, leading to the diagnosis of distal renal tubular acidosis. Normalisation of serum potassium level was established with oral bicarbonate supplementation and temporary potassium supplementation.

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