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Clinical Reviews

Failure to thrive, vomiting and diarrhea. More than gastrointestinal diseases


Romeo Donlo Ma, Aparicio López Cb, de Lucas Collantes Cc, Iglesias Bouzas MId

aMIR-Pediatría. Hospital Infantil Universitario Niño Jesús. Madrid. España.
bServicio de Nefrología. Hospital Infantil Universitario Niño Jesús. Madrid, España.
cServicio de Nefrología. Hospital Infantil Universitario Niño Jesús. Madrid. España.
dUnidad de Cuidados Intensivos Pediátricos. Hospital Universitario Niño Jesús. Madrid. España.

Correspondence: M Romeo. Email:

Reference of this article.:

Romeo Donlo M, Aparicio López C, de Lucas Collantes C, Iglesias Bouzas MI. Estancamiento ponderal, vómitos y diarrea. Algo más que patología digestiva. Rev Pediatr Aten Primaria. 2015;17:247-50.

Published in Internet: 09/09/2015


Renal tubular acidosis is a group of disorders with metabolic acidosis, in which tubular function is impaired while glomerular function is preserved. They are caused by an impairment in the bicarbonate’s renal tubular reabsorption and/or in the urine excretion of hydrogen. The etiology of tubular acidosis is diverse. We should think of it in an infant with vomiting, polyuria, dehydration and poor weight gain. The prognosis is variable, it depends on whether it is a primary or a secondary form and on how prompt the treatment is instituted. We present a patient with primary distal tubular acidosis diagnosed at 3 months of age with poor weight gain.

Keywords: Vomiting. Alkaline urine. Stunted growth. Nephrocalcinosis. Distal renal tubular acidosis.



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