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PREMATÜRE YENİDOĞANDA MİKST TİP RENAL TÜBÜLER ASİDOZ

MIXED TYPE RENAL TUBULAR ACIDOSIS IN THE PREMATURE NEONATE

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Abstract (2. Language): 
Renal tubular acidosis, rarely seen in neonatal period, is a condition resulting from a defect in either hydrogen excretion or bicarbonate reabsorption from renal tubuli. Here, we describe a premature neonate with mixed type renal tubular acidosis associated with both proximal renal tubular dysfunction and primary distal renal tubular acidosis presented with severe dehydration and hypercalcemia. Early diagnosis and treatment may induce resumption of normal growth , arrest of nephrocalcinosis and preservation of renal functions.
Abstract (Original Language): 
Renal tübüler asidoz, böbrek tübüllerinde hidrojen iyonunun atılımında veya bikarbonat emilimindeki defekt sonucu ortaya çıkan ve yenidoğan döneminde nadir görülen bir durumdur. Burada ağır dehidratasyon ve hiperkalsemisi ile primer distal renal tübüler asidozun proksimal renal tübüler fonksiyon bozukluğu ile birlikte olduğu mikst tip renal tübüler asidoz tanısı alan bir prematüre yenidoğan olgusu sunulmuştur. Renal tübüler asidozlu olgularda erken tanı ve tedavi ile normal büyümenin yanısıra nefrokalsinozisin ilerlemesi önlenerek böbrek fonksiyonlarının korunması sağlanabilmektedir.

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