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Concomitant diabetic ketocacidosis and renal tubular acidosis in a type 1 diabetes mellitus patient

International Journal of Diabetes in Developing Countries volume 41, pages 172–174 (2021)Cite this article

Abstract

Background

Both RTA and T1DM have been associated with autoimmunity but they have been reported together rarely.

Case description

A 23-year-old female presented with DKA persisted to have acidosis after normalization of sugars. She was diagnosed with concurrent RTA on urine analysis without any underlying cause. The simultaneous occurrence of these two conditions is challenging because of the need for bicarbonate therapy in RTA; and its relative contraindication in DKA. Management of hypokalemia also becomes challenging in this condition.

Conclusion

Both RTA and DKA have a similar clinical presentation and, therefore, require a higher degree of clinical suspicion, especially in cases of non-resolving acidosis.

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Authors and Affiliations

  1. Department of Medicine, Dr. SN Medical College, Jodhpur, India

    Khushboo Agarwal, Dhruv Thakur & Alok Gupta

Authors
  1. Khushboo Agarwal
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  2. Dhruv Thakur
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  3. Alok Gupta
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Corresponding author

Correspondence to Khushboo Agarwal.

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Informed consent was obtained from the patient for publication of the case report.

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Agarwal, K., Thakur, D. & Gupta, A. Concomitant diabetic ketocacidosis and renal tubular acidosis in a type 1 diabetes mellitus patient. Int J Diabetes Dev Ctries 41, 172–174 (2021). https://doi.org/10.1007/s13410-020-00856-x

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  • DOI: https://doi.org/10.1007/s13410-020-00856-x

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