Unusual presentation of RTA with lytic bone lesions in a pediatric patient: A case study

Key clinical message

Distal renal tubular acidosis, first described in 1946, holds significant clinical importance, particularly in paediatric populations, due to its long-term impact on bone density and growth, as well as effects on the kidneys [3,6]. Early recognition and appropriate management of RTA in paediatric patients is essential to mitigating long term complications and optimising patient outcomes [3].

We report a case of a 13-year-old female child who presented with unusual symptoms of distal RTA, namely bilateral lower limb weakness. Undiagnosed renal tubular acidosis predisposes patients to an array of complications and 25 % of patients may experience a metabolic emergency at some point [3]. The patient was treated with electrolyte-balancing agents and vitamin D. The patient responded to treatment and was discharged, followed by regular-follow ups in the outpatient department.