Acute paralysis due to distal renal tubular acidosis: a case report
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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...
KeywordsHypokalemia Calcium Oxalate Renal Tubular Acidosis Distal Renal Tubular Acidosis Hyperchloremic Metabolic Acidosis
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