Recommended Citation
Uduman J, and Yee J. Pseudo-renal tubular acidosis: Conditions mimicking renal tubular acidosis. Adv Chronic Kidney Dis 2018; 25(4):358-365.
Document Type
Article
Publication Date
7-1-2018
Publication Title
Advances in chronic kidney disease
Abstract
Hyperchloremic metabolic acidosis, particularly renal tubular acidosis, can pose diagnostic challenges. The laboratory phenotype of a low total carbon dioxide content, normal anion gap, and hyperchloremia may be misconstrued as hypobicarbonatemia from renal tubular acidosis. Several disorders can mimic renal tubular acidosis, and these must be appropriately diagnosed to prevent inadvertent and inappropriate application of alkali therapy. Key physiologic principles and limitations in the assessment of renal acid handling that can pose diagnostic challenges are enumerated.
PubMed ID
30139462
Volume
25
Issue
4
First Page
358
Last Page
365
