Incomplete Renal Tubular Acidosis: some Clinical and Physiological Features
作者:
Richard L. Tannen,
William F. Falls, Jr.,
Newton C. Brackett, Jr.,
期刊:
Nephron
(Karger Available online 1975)
卷期:
Volume 15,
issue 2
页码: 111-123
ISSN:1660-8151
年代: 1975
DOI:10.1159/000180502
出版商: S. Karger AG
关键词: Renal calculi;Renal tubular acidosis;Urine acidification;Incomplete renal tubular acidosis;Urine pH
数据来源: Karger
摘要:
17 patients with recurrent calcium-containing-renal calculi were studied using the short NH4CI test and one subject with ‘incomplete renal tubular acidosis’ was identified. In retrospect the only clue to this diagnosis was a fasting, morning urine pH exceeding 6.0 units. Fasting morning urine pH, which is usually less than 6.0 in subjects who acidify normally, is proposed as a simple screening test for ‘incomplete RTA’. Modified high dose NH4CI tests and Na2SO4 tests were performed in this subject and other patients with either complete or incomplete distal renal tubular acidosis. These studies suggest that the ability to lower urine pH is impaired less with the incomplete than with the complete form of the
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