Secondary Erythrocytosis in Distal Renal Tubular Acidosis: Report of One Case

遠端腎小管酸血症所引發的紅血球生成過多症：一病例報告

翁根本(Ken-Pen Weng) ； 洪堯民(Yao-Min Hung) ； 黃世惠(Shih-Hui Huang) ； 邱益煊(Yee-Hsuan Chio) ； 謝凱生(Kai-Sheng Hsieh)

《Acta Paediatrica Taiwanica》 41卷2期 (2000/04) Pp. 90-92

https://doi.org/10.7097/APT.200004.0090

摘要

無端腎小管酸血症會造成各式各樣臨床症狀，在兒童身上，可能呈現生長遲滯，腸胃疾病，腎臓鈣化，腎衰竭等。到目前爲止，並未有人報告無端腎小管酸血症在兒童身上導致紅血球生成過多症。我們提報一個三歲男孩，呈現生長遲滯，腎臓鈣化及紅血球生成過多症。這病患接受NaHCO3和Potassium Citrate治療，並追蹤兩年，他的代謝性中毒和生長有一些進步，腎功能維持正常，紅血球過多症沒有惡化。需進一步研究來了解紅血球生成過多症和遠端腎酸血症的關係。

關鍵字

紅血球生成過多症 ； 遠端腎小管酸血症 ； 生長遲滯 ； 腎臓鈣化

並列摘要

The wide spectrum of distal renal tubular acidosis (RTA) has been reported. Children with distal RTA can present with failure to thrive, gastrointestinal symptoms, nephrocalcinosis, and renal failure, etc. So far, secondary erythrocytosis in pediatric patients with distal RTA has not been reported. Here we report a case of distal RTA with failure to thrive and nephrocalcinosis accompanied by secondary erythrocytosis in a 3-year-old boy. He has been followed up for 2 years and is under treatment with NaHCO3 and potassium citrate. The treatment contributes to the improvement of metabolic acidosis and his growth. There is normal renal function and constant erythrocytosis during the follow-up period. Further studies are needed to clarify the relationship between erythrocytosis and distal RTA.

並列關鍵字

erythrocytosis ； distal renal tubular acidosis ； failure to thrive ； nephrocalcinosis