Title

Pseudo-Renal Tubular Acidosis: Conditions Mimicking Renal Tubular Acidosis.

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

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