What does acidosis suggest in patients with hypokalemia (low potassium level)?

Updated: Dec 06, 2018
  • Author: Eleanor Lederer, MD, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Acidosis suggests renal tubular acidosis type I or type II (eg, Fanconi syndrome). Other evidence of Fanconi syndrome, such as hypophosphatemia with phosphate wasting, hypouricemia, and renal glycosuria, may alert the clinician to this diagnosis. Renal tubular acidosis may also result from paraproteinemias, amphotericin use, gentamicin use, or glue sniffing (toluene toxicity [51] ). Patients with toluene toxicity may have a high anion gap with reduced kidney function.


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