%0 Journal Article
%T Rickets Due to Distal Renal Tubular Acidosis¨C an Uncommon Presentation of Wilson¡¯s Disease
%A AFM Azim Anwar
%A Afroja Alam
%A Md Abul Kalam Azad
%A Monjila Anjum
%A Shaheen Lipika Quayum
%J Bangladesh Journal of Medicine
%D 2018
%R https://doi.org/10.3329/bjmed.v29i2.37943
%X Rickets is a disease of bone mineralization of growth plate. Refractory rickets can be caused by distal (type 1) renal tubular acidosis (RTA). A number of conditions can result in distal RTA and Wilson¡¯s disease is an uncommon entity. Wilson¡¯s disease is a rare autosomal recessive disorder of copper metabolism with diverse presentations. We describe a case of refractory rickets due to distal RTA, caused by Wilson¡¯s disease. Diagnosis of Wilson¡¯s disease was confirmed with presence of Kayser¨CFleischer (K¨CF) rings and high urinary copper. Further investigations revealed urinary acidification defect with hypercalciuria pointing towards distal RTA. He was treated with penicillamine & oral Zinc and significant clinical improvement was observed. Bangladesh J Medicine Jul 2018; 29(2) : 84-86
%K Rickets
%K Wilson¡¯s disease
%K Renal Tubular Acidosis
%U https://www.banglajol.info/index.php/BJMED/article/view/37943