Sieprath U, Lampen M, Firschke C
Innere Abteilung, Ilmtalklinik GmbH, Pfaffenhofen a. d. Ilm.
Internist (Berl). 2011 Apr;52(4):441-4. doi: 10.1007/s00108-010-2666-6.
We report a 45-year-old female patient with muscle weakness. We diagnosed renal tubular acidosis type I by laboratory findings of hypopotassemia, hypopotassuria, metabolic acidosis and basic urine. The muscle weakness improved rapidly by substitution of potassium and an alcalescent substance. Searching for associated autoimmune diseases we diagnosed primary biliary cirrhosis and initiated a therapy with ursodeoxycholic acid.
我们报告了一名45岁的肌无力女性患者。通过低钾血症、低钾尿症、代谢性酸中毒和碱性尿的实验室检查结果,我们诊断为I型肾小管酸中毒。通过补充钾和碱性物质,肌无力迅速改善。在寻找相关自身免疫性疾病的过程中,我们诊断出原发性胆汁性肝硬化,并开始使用熊去氧胆酸进行治疗。