Article
1 July 1967

Systemic Lupus Erythematosus and Latent Renal Tubular Dysfunction

Publication: Annals of Internal Medicine
Volume 67, Number 1
Renal tubular acidosis (1), an impairment of renal acid excretion out of proportion to reduction of glomerular filtration rate, has been described in a variety of clinical settings. Its characteristic clinical manifestations are hyperchloremic acidosis, an inability to excrete a highly acid urine, and impaired renal concentrating ability. It may be associated, in the primary form, with renal calculi, nephrocalcinosis, osteomalacia, and potassium depletion (2). Subclinical cases—either asymptomatic or lacking the laboratory findings of the overt cases of renal tubular acidosis—have been uncovered by an acid-loading test designed to detect acid excretion inappropriate to the induced metabolic acidosis (3, 4)....

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Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 67Number 11 July 1967
Pages: 100 - 109

History

Published in issue: 1 July 1967
Published online: 1 December 2008

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Authors

Affiliations

W. H. TU, M.D., F.A.C.P.
MARTIN A. SHEARN, M.D., F.A.C.P.
From the Department of Medicine, The Permanente Medical Group, Kaiser Foundation Hospital, Oakland, Calif.
This study was supported by research grant 117256, Kaiser Foundation, Oakland, Calif., and by a grant from The Arthritis Foundation, Northern California Chapter, San Francisco, Calif.
Requests for reprints should be addressed to W. H. Tu, M.D., Kaiser Foundation Hospitals, 280 W. MacArthur Blvd., Oakland, Calif. 94611.

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W. H. TU, MARTIN A. SHEARN. Systemic Lupus Erythematosus and Latent Renal Tubular Dysfunction. Ann Intern Med.1967;67:100-109. doi:10.7326/0003-4819-67-1-100

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