Rayón BR, Sánchez VG

Language: Spanish
References: 12
Page: 3-6
PDF size: 139.43 Kb.

ABSTRACT

Distal renal tubular acidosis is a condition characterized by loss of the ability to acidify the urine by a defect in the excretion of acid load (ions H + and ammonium). Its etiology is by a mutation de novo during the embryonic period, before the twelfth week of intrauterine life. The accompanying symptoms are stunted growth, vomiting, diarrhea and/or constipation, poor appetite, dehydration, nephrocalcinosis, muscle weakness and paralysis, loss of potassium (hypokalemia). A level are oral enamel hypoplasia, a defect in product enamel maturation, resulting from organic factors generating a metabolic disorder during mineralization of the tooth, during the step of calcification. This study documents the case of a female patient, four years with clinical diagnosis of Acidosis Tubular Renal Distal diagnosed at two years four months of age, at the Hospital for Children of Mother and Child Institute of the State of Mexico (IMIEM). He went to Centre Dental Specialties of IMIEM, to be valued by presenting white spots, brown spots and notable wear in various dental organs, severe pain at the time of phonation coinciding with thermal changes and vomiting frequently than once per week from the two-year-old data that suggest the diagnosis of dental enamel hypoplasia.

REFERENCES

1. Ochoa E, Borie G, Cortés Miriam. Acidosis tubular renal. Presentación de 2 casos clínicos, Rev Chil Ped. 1975; 46 (2): 111-114.

2. Fundacion para la Acidosis Tubular Renal en México A.C. ¿Qué es la ATR? 2014, [Internet] Disponible en: http://www.acidosistubular.unam.mx/index.php/que-es-el-atr

3. DuBose Jr. TD. Disorders of acid-base balance, En: Taal MW, Chertow GM, Marsden PA, Skorecki K, Yu ASL, Brenner BN. Brenner and Rector’s The Kidney, Capítulo 16, Novena Ed. Elsevier Saunders E. Filadelfia 2001, 595-639.

4. Jones JL. Acidosis tubular renal, Bol Med Hosp Infant Mex. 2012; 69 (6): 502-508.

5. Escobar L, Mejía N, Gil H, Santos F. La acidosis tubular renal distal: una enfermedad hereditaria en la que no se pueden eliminar los hidrogeniones, Nefrología. 2013; 33: 239-96.

6. Rodríguez SJ. Renal tubular acidosis: the clinical entity, J Am Soc Nephrol. 2002; 13: 2160-2170.

7. Wood NK, Goaz PW. Correlación de la estructura macroscópica y la microestrectura con las características clínicas. En: Wood NK, Goaz PW. Diagnóstico diferencial de las lesiones orales y maxilofaciales, Elsevier, España, 1998, 14-38.

8. Seedorf H, Klaften M, Eke F, Fuchs H, Seedorf U, Hrabe de Angelis M. A mutation in the enamelin gene in a mouse model, J Dent Res. 2007; 86 (8): 764-768.

9. Dean J, McDonald RE, Avery DR. McDonald and Avery’s Dentistry for the child and adolescent, Mosby Elsevier. Ninth Edition, Maryland, 2011, 97.

10. Acosta MG. Hipoplasia dental asociada a enfermedad renal, Rev Lat Ortodon Odontoped. 2008, En: www.ortodoncia.ws/publicaciones/2008/hipoplasia_dental.asp.

11. Lucas VS, Roberts GJ. Oro-dental health in children whith chronic renal failure and after renal transplantation: a clinical review, Pediatr Nephrol. 2005; 20 (10): 1388-1394.

12. Shigli K, Angadi GS, Shigi AL. Restoration of esthetics and function in a patient whith amelogenesis imperfecta: a clinical report, J Indian Prosthodont Soc. 2006; 6 (1): 43-46.