Internal and Emergency Medicine

, Volume 3, Issue 2, pp 175–177 | Cite as

Acute paralysis due to distal renal tubular acidosis: a case report

  • Stefania BattistaEmail author
  • Rosario Urbino
  • Camillo Antro
  • Valerio Gai
CE - Letter to the Editor

A 38-year-old woman presented to the emergency department with rapidly progressive quadriparesis. The patient reported sudden onset of diffuse myalgias associated with generalized muscular weakness and numbness during the last week. On the day prior to admission, paresis of limb and neck muscles developed. She denied any sensory, sphincter, visual, respiratory, or language disturbance. There was no history of recent gastrointestinal or respiratory upset. She denied diuretic, laxative or excessive licorice intake. There were no recent vaccinations, she had never experienced a similar event in the past, and there was no significant family history. She did not smoke or drink alcohol.

She gave a history of joint pain associated with morning stiffness and Raynaud-like symptoms at her hands for several years. Hypothyroidism developed subacutely as a consequence of post-partum autoimmune thyroiditis after her first pregnancy, when the patient was 30 years old, and levothyroxine treatment had...


Hypokalemia Calcium Oxalate Renal Tubular Acidosis Distal Renal Tubular Acidosis Hyperchloremic Metabolic Acidosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© SIMI 2008

Authors and Affiliations

  • Stefania Battista
    • 1
    • 2
    Email author
  • Rosario Urbino
    • 1
  • Camillo Antro
    • 1
  • Valerio Gai
    • 1
  1. 1.Department of Emergency Medicine and Intensive Care UnitSan Giovanni Battista Hospital of TurinTurinItaly
  2. 2.S.C. Medicina d’UrgenzaAzienda Ospedaliera San Giovanni Battista di TorinoTorinoItaly

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