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Ann Geriatr Med Res > Volume 17(3); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(3):147-151.
DOI: https://doi.org/10.4235/jkgs.2013.17.3.147    Published online September 30, 2013.
A Case of Renal Tubular Acidosis Associated With Graves' Disease
Eun Hee Sim, Young Shin Shin, Min Gyu Park, Chang Woo Yeo, Jin Du Kang, Sung Oon Youn, Kwang Jae Lee
Department of Internal Medicine, Dae Dong Hospital
그레이브스씨 병에서 발생한 원위 신세뇨관 산증 1예
심은희1, 신영신1, 박민규1, 여창우1, 강진두1, 윤성운1, 이광재1
대동병원 내분비내과
Abstract
Renal tubular acidosis (RTA) is a metabolic acidosis caused by impaired excretion of hydrogen ions or reabsorption of bicarbonate. Disorders caused by impairment of bicarbonate reabsorption in the proximal tubule are classified as proximal RTA, whereas those resulting from impairment of hydrogen ion secretion at the distal tubule are called distal RTA. The most common causes of distal renal tubular acidosis in adults are autoimmune disorders including Sjogren syndrome, systemic lupus erythematosis, rheumatoid arthritis, and autoimmune thyroiditis. Of the thyroiditis states, Graves' disease-associated RTA is a rare disease. We experienced and managed one case of hypokalemic muscle weakness associated with Graves' disease and distal renal tubular acidosis.
Key Words: Renal tubular acidosis, Graves' disease, Hypokalemia, Paralysis


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