H+-ATPase Pump Defects of Distal Renal Tubular Acidosis as Initial Manifestation of Systemic Lupus Erythematosus
H+-ATPase Pump 결손을 가진 원위부 신세관성 산증이 전신성 홍반성 낭창의 첫번째 증세로 나타난 1예
Song, YJ; Kim, JE; Lee, JW; Lee, DH; Cho, HK; Shin, GT; Kim, H; Yim, H; Kim, J; Im, SW; Kim, WY
Taehan Sinjang Hakhoe chi, 22(1):148-155, 2003
Taehan Sinjang Hakhoe chi; The Korean journal of nephrology; 대한신장학회지
Systemic lupus erythematosus (SLE) is a multisystem disease with marked variability in its manifestation. Tuburlointerstitial involvement is well recognized in SLE. But usually the tubular dysfunction is latent and usually presents after diagnosis of
SLE. We report a 20 years old female whose initial symptom of SLE was distal renal tubular acidosis (RTA). She presented with severe muscle weakness at emergency room with laboratory finding consistent with distal RTA. After several months she developed fever, arthritis, serologic finding which was compatible to diagnose SLE. We report a case whose initial symptom of SLE had been distal RTA.
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