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Previous Volume 335:675 August 29, 1996 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The Image in Clinical Medicine of Drs. Kwan and Marsh (April 25 issue)¹ shows an excellent radiographic example of type 1 (distal) renal tubular acidosis with nephrocalcinosis, but there are some irregularities in the accompanying clinical description. Although the stones passed by this patient were composed mainly of calcium oxalate, most patients with type 1 renal tubular acidosis produce calcium phosphate (brushite) calculi. The patient's plasma bicarbonate concentration was in the low range of normal, so the diagnosis was more likely to be incomplete type 1 renal tubular acidosis.

Despite the absence of systemic acidosis requiring alkalization . . . [Full Text of this Article]

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