Renal tubular acidosis type 4 in pregnancy

We describe the clinical course of renal tubular acidosis (RTA) type 4 in pregnancy, which has not been previously published. Renal tubular acidosis type 4 is a condition associated with increased urinary ammonia secondary to hypoaldosteronism or pseudohypoaldosteronism. Pregnancy may worsen the hyp...

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Veröffentlicht in:BMJ case reports 2016-03, Vol.2016, p.bcr2016214798
Hauptverfasser: Jakes, Adam Daniel, Baynes, Kevin, Nelson-Piercy, Catherine
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Sprache:eng
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Zusammenfassung:We describe the clinical course of renal tubular acidosis (RTA) type 4 in pregnancy, which has not been previously published. Renal tubular acidosis type 4 is a condition associated with increased urinary ammonia secondary to hypoaldosteronism or pseudohypoaldosteronism. Pregnancy may worsen the hyperkalaemia and acidosis of renal tubular acidosis type 4, possibly through an antialdosterone effect. We advise regular monitoring of potassium and pH throughout pregnancy to ensure safe levels are maintained.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-214798