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Alport’s syndrome with type 4 renal tubular acidosis
  1. Thomas McDonnell,
  2. Chukwuma Chukwu,
  3. Christopher Wong
  1. Department of Nephrology, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK
  1. Correspondence to Dr Thomas McDonnell, tm9038{at}


This case report details a 51-year-old man with Alport’s syndrome resulting in chronic nephritis with stable renal function and sensorineural deafness. The patient was being investigated for persistently raised potassium refractory to dietary and pharmacological modification. Subsequently, the patient was found to have type 4 renal tubular acidosis, and potassium normalised with the addition of fludrocortisone.

  • Renal system
  • Renal medicine
  • Chronic renal failure
  • Fluid electrolyte and acid-base disturbances

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  • Contributors TMD undertook literate search, data collection and writing up of the case and obtained patient consent. CW highlighted the case and oversaw the case report. CC reviewed and edited the case report.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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