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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2018  |  Volume : 29  |  Issue : 5  |  Page : 1216-1219
An initial evaluation of hypokalemia turned out distal renal tubular acidosis secondary to parathyroid adenoma

1 Department of Nephrology, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India
2 Janta Hospital, Nagpur, Maharashtra, India
3 Department of Cardiology, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India
4 Department of Medicine, Northern Railway Central Hospital, New Delhi, India
5 Children's Hospital, Michigan, USA
6 Department of Nephrology, Government Medical College and Super Specialty Hospital, Nagpur, Maharashtra, India

Correspondence Address:
Dr. Manish R Balwani
Department of Nephrology, Jawaharlal Nehru Medical College, Sawangi, Wardha - 442 001, Maharashtra
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DOI: 10.4103/1319-2442.243965

PMID: 30381523

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Primary hyperparathyroidism (PHPT) usually presents with hypercalcemia related symptoms and signs. Kidneys play an important role in calcium homeostasis. PHPT has been reported to be associated with hyperchloremia, defective urinary acidification, and renal tubular acidosis (RTA). The dysfunction of distal renal tubules is proposed to be secondary to calcium deposition in distal tubules. This case report highlights an initial presentation of parathyroid adenoma as hypokalemia due to distal RTA secondary to medullary nephrocalcinosis.

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