Renal tubular acidosis causes: Difference between revisions

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__NOTOC__
__NOTOC__
{{Renal tubular acidosis}}
{{Renal tubular acidosis}}
{{CMG}} ; {{AE}} {{ADG}}
 
{{CMG}} ; {{AE}} {{ADG}} {{JSS}} {{SAH}}
==Ovevriew==
==Ovevriew==
Primary causes of renal tubular acidosis include genetic [[mutations]] causing defects in the kidney [[anion]] exchanger [kAE1] in [[Distal convoluted tubule|distal]] tubule intercalated cells and [[congenital adrenal hyperplasia]]. Secondary causes include medications and [[Autoimmune disease|autoimmune]] diseases.
==Causes==
==Causes==
The following table summarizes the common primary and secondary causes of [[renal tubular acidosis]].<ref name="pmid23235953">{{cite journal |vauthors=Haque SK, Ariceta G, Batlle D |title=Proximal renal tubular acidosis: a not so rare disorder of multiple etiologies |journal=Nephrol. Dial. Transplant. |volume=27 |issue=12 |pages=4273–87 |date=December 2012 |pmid=23235953 |pmc=3616759 |doi=10.1093/ndt/gfs493 |url=}}</ref><ref name="pmid23114896">{{cite journal |vauthors=Batlle D, Haque SK |title=Genetic causes and mechanisms of distal renal tubular acidosis |journal=Nephrol. Dial. Transplant. |volume=27 |issue=10 |pages=3691–704 |date=October 2012 |pmid=23114896 |doi=10.1093/ndt/gfs442 |url=}}</ref><ref name="pmid21170890">{{cite journal |vauthors=Alper SL |title=Familial renal tubular acidosis |journal=J. Nephrol. |volume=23 Suppl 16 |issue= |pages=S57–76 |date=2010 |pmid=21170890 |doi= |url=}}</ref>
{| class="wikitable"
{| class="wikitable"
!
!
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|Type 1
|Type 1
|
|
* Idiopathic
* [[Idiopathic]]


* Familial
* [[Familial]]
** Autosomal dominant  
** Autosomal dominant  
*** Mainly due to [[mutations]] causing defects in the kidney anion exchanger [kAE1] in distal tubule intercalated cells.
*** Mainly due to [[mutations]] causing defects in the kidney anion exchanger [kAE1] in distal tubule intercalated cells.
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** [[Lithium carbonate]]
** [[Lithium carbonate]]
** [[Ibuprofen]]
** [[Ibuprofen]]
* Hypercalciuric conditions
* [[Hypercalciuric]] conditions
** [[Hyperparathyroidism]]
** [[Hyperparathyroidism]]
** [[Vitamin D -- adverse effects|Vitamin D intoxication]]
** [[Vitamin D -- adverse effects|Vitamin D intoxication]]
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|Type 2
|Type 2
|
|
* Recessive 
* [[Recessive]] 
** Proximal tubule cell sodium bicarbonate co-transporter (NBCe1) defect
** Proximal tubule cell sodium bicarbonate co-transporter (NBCe1) defect
** Carbonic anhydrase type 2 deficiency
** Carbonic anhydrase type 2 deficiency
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|Type 4
|Type 4
|
|
* Congenital hypoaldosteronism (21-hydroxylase deficiency and isolated hypoaldosteronism)
* [[Congenital adrenal hyperplasia|Congenital hypoaldosteronism]]
* Pseudohypoaldosteronism type 2 (Gordon's syndrome)
** [[21-hydroxylase deficiency]]
* Primary adrenal insufficiency
** [[Isolated hypoaldosteronism]]
* Pseudohypoaldosteronism type 1
* [[Pseudohypoaldosteronism|Pseudohypoaldosteronism type 2]]
* [[Primary adrenal insufficiency]]
* [[Pseudohypoaldosteronism|Pseudohypoaldosteronism type 1]]
|
|
* Angiotensin inhibitors, such as ACE inhibitors, angiotensin II receptor blockers, and direct renin inhibitors
* Angiotensin inhibitors, such as
* Antibiotics, trimethoprim, and pentamidine
** [[ACE inhibitor|ACE inhibitors]]
* Potassium-sparing diuretics, such as spironolactone, eplerenone, amiloride, and triamterene
** [[Angiotensin II receptor antagonist|Angiotensin II receptor blockers]]
** Direct renin inhibitors
* [[Antibiotics]], [[trimethoprim]], and [[pentamidine]]
* Potassium-sparing diuretics
** [[Spironolactone]]
** [[Eplerenone]]
** [[Amiloride]]
** [[Triamterene]]
|}
|}


==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 13:35, 1 August 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2] Jogeet Singh Sekhon, M.D. [3] Syed Ahsan Hussain, M.D.[4]

Ovevriew

Primary causes of renal tubular acidosis include genetic mutations causing defects in the kidney anion exchanger [kAE1] in distal tubule intercalated cells and congenital adrenal hyperplasia. Secondary causes include medications and autoimmune diseases.

Causes

The following table summarizes the common primary and secondary causes of renal tubular acidosis.[1][2][3]

Primary Causes Secondary Causes
Type 1
  • Familial
    • Autosomal dominant
      • Mainly due to mutations causing defects in the kidney anion exchanger [kAE1] in distal tubule intercalated cells.
  • Autosomal recessive
    • Mainly due to mutations causing defects in V-ATPase in distal tubule intercalated cells.
Type 2
Type 4

References

  1. Haque SK, Ariceta G, Batlle D (December 2012). "Proximal renal tubular acidosis: a not so rare disorder of multiple etiologies". Nephrol. Dial. Transplant. 27 (12): 4273–87. doi:10.1093/ndt/gfs493. PMC 3616759. PMID 23235953.
  2. Batlle D, Haque SK (October 2012). "Genetic causes and mechanisms of distal renal tubular acidosis". Nephrol. Dial. Transplant. 27 (10): 3691–704. doi:10.1093/ndt/gfs442. PMID 23114896.
  3. Alper SL (2010). "Familial renal tubular acidosis". J. Nephrol. 23 Suppl 16: S57–76. PMID 21170890.