ПОЧЕЧНЫЙ ТУБУЛЯРНЫЙ АЦИДОЗ III ТИПА У ГРУДНОГО РЕБЕНКА

Тубулопатия сопровождается дисбалансом электролитов из-за нарушения экскреции ионов водорода (I тип), нарушением обратного всасывания бикарбонатов (II тип), аномальной продукцией альдостерона или взаимодействия с ним (IV). Течение может быть бессимптомным или с проявлениями электролитных расстройств: слабостью, тошнотой, костными деформациями. Диагностика почечной ацидемии базируется на измерениях рН мочи и электролитов, данных генетических анализов. В статье описаны клиническая картина, классификация и диагностика казуистически редкого почечного тубулярного ацидоза III (комбинированного) типа у грудного ребенка, отражена значимость применения современных методов исследования для оптимизации своевременного лечения и улучшения качества жизни.

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