Southeast Asian Ovalocytosis with Distal Renal Tubular Acidosis

Abstract

Abstract:

A 1 year and 9 months-old boy presented with persistent metabolic acidosis after acute
gastroenteritis,  anemia and malnutrition. A diagnosis of distal renal tubular acidosis was made based
on  the serum and urine electrolyte results and radiograph finding of rickets and nephrocalcinosis.
Peripheral  blood smear showed a Southeast Asian Ovalocytosis phenotype. After alkali therapy, the
patient  had weight gain and the metabolic acidosis and anemia improved. Coexisting SAO should
be searched  for as a potential cause of anemia in patients with distal renal tubular acidosis.