Indian Pediatrics

, Volume 53, Issue 11, pp 1013–1014 | Cite as

Distal renal tubular acidosis associated with celiac disease and thyroiditis

  • Amit Kumar Satapathy
  • Sapna Mittal
  • Vandana Jain
Case Report



Association of distal renal tubular acidosis (RTA) with autoimmune diseases is extremely rare in children.

Case Characteristics

12-year-old girl with distal RTA. Despite resolution of acidosis on bicarbonate, she continued to have poor growth and delayed puberty. Investigations revealed autoimmune thyroiditis and celiac disease.


Levothyroxine and gluten-free diet were initiated. Child gained height and weight and had onset of puberty after gluten withdrawal.


Distal RTA in children may rarely be of autoimmune etiology.


Autoimmune diseases Hypothyroidism Metabolic acidosis Refractory rickets 


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Copyright information

© Indian Academy of Pediatrics 2016

Authors and Affiliations

  • Amit Kumar Satapathy
    • 1
  • Sapna Mittal
    • 1
  • Vandana Jain
    • 1
    • 2
  1. 1.Department of PediatricsAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Division of Pediatric Endocrinology, Department of PediatricsAIIMSNew DelhiIndia

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