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Distal renal tubular acidosis associated with celiac disease and thyroiditis

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Abstract

Background

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.

Outcome

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

Messages

Distal RTA in children may rarely be of autoimmune etiology.

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Author information

Authors and Affiliations

  1. Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India

    Amit Kumar Satapathy, Sapna Mittal & Vandana Jain

  2. Division of Pediatric Endocrinology, Department of Pediatrics, AIIMS, New Delhi, 110 029, India

    Vandana Jain

Authors
  1. Amit Kumar Satapathy
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  2. Sapna Mittal
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  3. Vandana Jain
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Corresponding author

Correspondence to Vandana Jain.

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Satapathy, A.K., Mittal, S. & Jain, V. Distal renal tubular acidosis associated with celiac disease and thyroiditis. Indian Pediatr 53, 1013–1014 (2016). https://doi.org/10.1007/s13312-016-0978-x

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  • DOI: https://doi.org/10.1007/s13312-016-0978-x

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