Long standing paraparesis: A rare presentation of distal renal tubular acidosis

摘要

Neurologic manifestations can accompany systemic diseases, and primary disease can be identified with a careful history, physical examination, and laboratory investigations. Renal tubular acidosis (RTA) is an important differential diagnosis in any child presenting with failure to thrive. Hypokalemic distal RTA, also known as classic RTA or type 1 RTA, may present, though not so frequently , with weakness consequent upon hypokalemic paralysis, compounded by rickets.