Mar 18, 2005

A case report and review of hypokalemic paralysis secondary to renal tubular acidosis

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
Nilzete Liberato BresolinRonaldo José Melo da Silva


A 5-year-old girl with distal renal tubular acidosis (RTA) and hypokalemic muscle paralysis is reported. RTA is a known cause of hypokalemia, but in spite of the presence of persistent hypokalemia muscular paralysis is uncommon, rarely described in children, and the onset of paralysis may initially be misinterpreted particularly if the patient is attended by a physician who is not a pediatric nephrologist. Therefore parents must be informed about this possibility. Still, as the clinical appearance of hypokalemic paralysis is quite similar to familial hypokalemic periodic paralysis, and because the emergent and prophylactic treatment of the two disorders are quite different, we discuss the diagnostic evaluation and the treatment for both of them.

  • References15
  • Citations7


Mentioned in this Paper

Todd Paralysis
Tomography, Ultrasonic
Renal Tubular Acidosis
Renal Tubular Acidosis, Type II
Distal Renal Tubular Acidosis
Differential Diagnosis
Drugs used in migraine prophylaxis

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