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Distal Renal Tubular Acidosis Associated with Celiac Disease and Thyroiditis.

Amit Kumar Satapathy, Sapna Mittal, Vandana Jain
Indian Pediatrics 2016 November 16
BACKGROUND: Association of distal renal tubular acidosis (RTA) with autoimmune diseases is extremely rare in children.

CASE CHARACTERISTICS: 12-year-old girl with distal RTA. Despite resolution of acidosis on bicarbonate, she continued to have poor growth and delayed puberty. Investigations revealed autoimmune thyroiditis and celiac disease.

OUTCOME: Levothyroxine and gluten-free diet were initiated. Child gained height and weight and had onset of puberty after gluten withdrawal.

MESSAGE: Distal RTA in children may rarely be of autoimmune etiology.

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