期刊
PEDIATRIC CLINICS OF NORTH AMERICA
卷 66, 期 1, 页码 135-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.pcl.2018.08.011
关键词
Acid-base homeostasis; Bicarbonate; Renal Fanconi syndrome; Hyperkalemia; Nephrocalcinosis; Ammonium; Urine anion gap
类别
资金
- Canadian Institutes of Health Research [MOP 136891] Funding Source: Medline
Renal tubular acidosis should be suspected in poorly thriving young children with hyperchloremic and hypokalemic normal anion gap metabolic acidosis, with/without syndromic features. Further workup is needed to determine the type of renal tubular acidosis and the presumed etiopathogenesis, which informs treatment choices and prognosis. The risk of nephrolithiasis and calcinosis is linked to the presence (proximal renal tubular acidosis, negligible stone risk) or absence (distal renal tubular acidosis, high stone risk) of urine citrate excretion. New formulations of slow-release alkali and potassium combination supplements are being tested that are expected to simplify treatment and lead to sustained acidosis correction.
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