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Case Reports
. 1990 Dec;150(2):115-8.
doi: 10.1007/BF02072052.

Type 4 renal tubular acidosis (subtype 2) in a patient with methylmalonic acidaemia

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Case Reports

Type 4 renal tubular acidosis (subtype 2) in a patient with methylmalonic acidaemia

T Ohura et al. Eur J Pediatr. 1990 Dec.

Abstract

A 10-month-old male infant with vitamin B12 non-responsive methylmalonic acidaemia is reported. Laboratory results revealed hyperkalaemic, hyperchloraemic, metabolic acidosis with slight azotaemia. The urinary pH decreased (below 5.5) to compensate for acidaemia. Levels of plasma renin activity and plasma aldosterone concentration were low. The renal biopsy showed tubulo-interstitial nephritis. We suggested the diagnosis of type 4 renal tubular acidosis, subtype 2, i.e. hyporeninaemic hypoaldosteronism. We suggest that chronic renal disease may be a common complication of methylmalonic acidaemia.

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