A Rare Case of Renal Tubular Acidosis (type 1 Distal) in Pregnancy

authors:

avatar Mahua Bhattacharya 1 , * , avatar Manasij Mitra 2 , avatar Maitraye Basu 2

Department of Obstetrics and Gynaecology, Fortis Hospital- 730, Eastern Metropolitan Bypass, Anandapur, East Kolkata Twp, Kolkata, West Bengal. India
Department of Biochemistry, MGM Medical College and LSK Hospital, Kishanganj, Purab Palli. Bihar. India
Journal of Cellular & Molecular Anesthesia: Vol.5, issue 3; e150183
published online: May 15, 2020
article type: Case Report
DOI: https://doi.org/10.22037/jcma.v5i3.30405

how to cite: Bhattacharya M, Mitra M, Basu M. A Rare Case of Renal Tubular Acidosis (type 1 Distal) in Pregnancy. J Cell Mol Anesth. 2020;5(3):e150183. https://doi.org/10.22037/jcma.v5i3.30405.

Abstract

Distal renal tubular acidosis (type 1 RTA) is associated with systemic non-anion gap metabolic acidosis. It is predominantly due to impaired hydrogen ion secretion and impaired bicarbonate reabsorption in the distal nephrons of the kidney. RTA is rarely encountered during pregnancy and is associated with potential risks for the mother and fetus due to alterations in maternal acid-base status and electrolytes. Anesthetic management aims to ensure the well-being of the mother and fetus. We report, the anesthetic management of a 28-year-old, full-term G4P0A3 (gravida 4, para 0 and abortions 3) female with distal renal tubular acidosis (type 1 RTA) with recurrent history of familial hypokalemic periodic paralysis in the background of ultrasonography detected morphological disorder of both the kidneys and hypothyroidism who was posted for emergency LSCS.

References

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    References are in the PDF file of the article.