Snapshot
- A 36-year-old woman presents to the emergency department with left-sided back pain that radiates to her left groin. Medical history is significant for Sjogren syndrome. On physical exam there is left-sided costovertebral angle tenderness. Laboratory testing is notable for hyperchloremic and normal anion gap metabolic acidosis and hypokalemia. Non-contrast computerized tomography (CT) of the abdomen demonstrates urolithiasis. She is started on ibuprofen and intravenous fluids. Once the calculi passed it was found to be a calcium phosphate stone. (Type I renal tubular acidosis)
Introduction
- Clinical definition
- renal tubular dysfunction that results in a hyperchloremic and normal anion gap metabolic acidosis
- there is a relatively normal glomerular filtration rate
- renal tubular dysfunction that results in a hyperchloremic and normal anion gap metabolic acidosis