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Published on: June 20, 2018
Distal Renal Tubular Acidosis Associated with Celiac Disease and Thyroiditis
Amit Kumar Satapathy1, Sapna Mittal, Vandana Jain
1Department 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.
Background:
Association of distal renal tubular acidosis (RTA) with autoimmune diseases is extremely rare in children.
Case Characteristics:
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.
Outcome:
Levothyroxine and gluten-free diet were initiated. Child gained height and weight and had onset of puberty after gluten withdrawal.
Message:
Distal RTA in children may rarely be of autoimmune etiology.
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