Muhammad Afzal, Shabbir Hussain, Shoukat Mehmood Qureshi.
A case of distal renal tubular acidosis presenting as bone and joint pains.
Pak Armed Forces Med J Jan ;61(2):305-7.

Clinical presentation of distal Renal Tubular Acidoss is variable ranging from asymptomatic to severe growth failure, muscle weakness, stone formation, rickets, osteomalacia, renal failure and even death. Growth failure due to chronic acidosis is the commonest presentation of distal RTA in children while rickets is most common in proximal RTA1. We report a young girl who presented with severe bone and joint pains but physical growth parameters were above 50th percentile.

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