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Vol. 17 - Num. 67

Clinical Reviews

Failure to thrive, vomiting and diarrhea. More than gastrointestinal diseases

María Romeo Donloa, C Aparicio Lópezb, C de Lucas Collantesb, MI Iglesias Bouzasc

aMIR-Pediatría. Hospital Infantil Universitario Niño Jesús. Madrid. España.
bServicio de Nefrología. Hospital Infantil Universitario Niño Jesús. Madrid. España.
cUnidad de Cuidados Intensivos Pediátricos. Hospital Universitario Niño Jesús. Madrid. España.

Correspondence: M Romeo. E-mail: maria3334@hotmail.com

Reference of this article: Romeo Donlo M, Aparicio López C, de Lucas Collantes C, Iglesias Bouzas MI. Failure to thrive, vomiting and diarrhea. More than gastrointestinal diseases. Rev Pediatr Aten Primaria. 2015;17:247-50.

Published in Internet: 09-09-2015 - Visits: 9080

Abstract

Renal tubular acidosis is a group of disorders with metabolic acidosis, in which tubular function is impaired while glomerular function is preserved. They are caused by an impairment in the bicarbonate’s renal tubular reabsorption and/or in the urine excretion of hydrogen. The etiology of tubular acidosis is diverse. We should think of it in an infant with vomiting, polyuria, dehydration and poor weight gain. The prognosis is variable, it depends on whether it is a primary or a secondary form and on how prompt the treatment is instituted. We present a patient with primary distal tubular acidosis diagnosed at 3 months of age with poor weight gain.

Keywords

Alkaline urine Distal renal tubular acidosis Nephrocalcinosis Stunted growth Vomiting

 

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