Evidence map›Paper›PMID 40978892›Full record

ArticleCureus2025

Distal Renal Tubular Acidosis: A Conundrum of Short Stature, Failure to Thrive, Rickets, and Nephrocalcinosis.

Pankaj Singhania, Ramamoorthy Ponnusamy, Abhranil Dhar, Ayush Agarwal, Gouranga Santra

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pankaj SinghaniaEndocrinology and Metabolism, Arogyam Health Care, Purulia, IND.
Ramamoorthy PonnusamyGeneral Medicine, Deben Mahata Government Medical College and Hospital, Purulia, IND.
Abhranil DharEndocrinology and Metabolism, Institute of Post Graduate Medical Education and Research, Kolkata, IND.
Ayush AgarwalEndocrinology and Metabolism, Institute of Post Graduate Medical Education and Research, Kolkata, IND.
Gouranga SantraGeneral Medicine, Deben Mahata Government Medical College and Hospital, Purulia, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Distal renal tubular acidosis (dRTA) is an uncommon disorder marked by defective hydrogen ion excretion in the distal nephron, leading to hyperchloremic metabolic acidosis, persistently alkaline urine, and hypokalemia. Chronic, untreated dRTA in children often presents with growth failure, refractory rickets, and nephrocalcinosis, yet is frequently misdiagnosed. We report a 13-year-old girl with severe stunting, bone pain, proximal muscle weakness, and polyuria for several years. Examination revealed significant short stature, malnutrition, widened wrists, a protuberant abdomen, and genu valgum. X-rays demonstrated classical rachitic changes. Biochemical investigations showed severe hypokalemia (1.3 mEq/L) and metabolic acidosis (pH 7.22, HCO

Indexed as

growth failurehypokalemiarenal tubular acidosisricketsshort stature

Identifiers

PMID40978892
PMCPMC12444725

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.