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Case report
Primary gradient defect distal renal tubular acidosis presenting as hypokalaemic periodic paralysis
  1. P A Koul,
  2. A Wahid,
  3. F A Bhat
  1. Department of Internal Medicine, SheriKashmir Institute of Medical Sciences, Srinagar, Kashmir, India
  1. Correspondence to:
 Dr Parvaiz A Koul
 Department of Internal Medicine, SheriKashmir Institute of Medical Sciences, Soura, Srinagar 190 011, Kashmir, India; parvaizkrediffmail.com

Abstract

A 45 year old man presented with recurrent hypokalaemic paralysis. Laboratory investigations revealed renal tubular acidosis as the cause of the hypokalaemia, and dynamic tubular studies suggested a gradient defect as the underlying cause. The patient had associated dextrocardia. To our knowledge, this is the first report of this condition

  • acidosis
  • paralysis
  • hypokalaemia

https://doi.org/10.1136/emj.2003.004465

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    Footnotes

    • Competing interests: there are no competing interests