Koul P A, Saleem S M, Bhat D
Department of Internal Medicine, Institute of Medical Sciences, Srinagar, Kashmir, India.
J Intern Med. 1993 Jun;233(6):463-6. doi: 10.1111/j.1365-2796.1993.tb00999.x.
Twenty-one cases of renal tubular acidosis presenting with periodic hypokalaemic muscular weakness, that were seen over an 8-year period, are presented. The biochemical features suggested a diagnosis of distal renal tubular acidosis and absence of family history with negative screening of eighteen families pointed towards the primary sporadic nature of the disorder in nineteen of the cases. Alkali and replacement potassium therapy resulted in immediate and sustained clinical recovery in all the cases.
本文报告了在8年期间所见到的21例表现为周期性低钾性肌无力的肾小管酸中毒病例。生化特征提示为远端肾小管酸中毒，18个家族筛查均无家族史，表明其中19例疾病具有原发性散发性。碱剂和补钾治疗使所有病例均迅速并持续临床康复。
