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  • Title: Life-threatening hypokalaemic paralysis associated with distal renal tubular acidosis.
    Author: Vendeloo M, Aarnoudse AL, van Bommel EF.
    Journal: Neth J Med; 2011 Jan; 69(1):35-8. PubMed ID: 21325700.
    Abstract:
    A 56-year-old woman developed acute respiratory failure requiring mechanical ventilation due to acute hypokalaemic paralysis. There was no gastrointestinal potassium loss nor was she taking diuretics. Additional analyses revealed a normal anion gap metabolic acidosis with a positive urine anion gap. An acid-load test revealed a renal urine acidification defect, leading to the diagnosis of distal renal tubular acidosis. Normalisation of serum potassium level was established with oral bicarbonate supplementation and temporary potassium supplementation.
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