<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522020000300086</article-id>
<article-id pub-id-type="doi">10.35366/94837</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Falsos diagnósticos de acidosis tubular renal primaria]]></article-title>
<article-title xml:lang="en"><![CDATA[False diagnoses of primary renal tubular acidosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Flores]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Nieto]]></surname>
<given-names><![CDATA[Víctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luevano-Rivas]]></surname>
<given-names><![CDATA[Ruth Karina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional de Occidente Hospital de Pediatría]]></institution>
<addr-line><![CDATA[ Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Nuestra Señora de la Candelaria de Santa Cruz de Tenerife  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Guadalajara Hospital Regional Núm. 46 ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>87</volume>
<numero>3</numero>
<fpage>86</fpage>
<lpage>90</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522020000300086&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522020000300086&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522020000300086&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  En los últimos años, se ha detectado el incremento del número de casos con sospecha o diagnóstico de acidosis tubular renal (ATR), que son enviados a los servicios de Nefrología Pediátrica, sin que se corrobore el diagnóstico.  Objetivo:  Describir la frecuencia de ATR en un servicio de Nefrología Pediátrica.  Material y métodos:  Se realizó un estudio observacional y descriptivo de los casos registrados en un periodo de seis años en un hospital de tercer nivel en Guadalajara, Jalisco. De expedientes clínicos, se recolectó la información correspondiente a todo paciente con ese diagnóstico o sospecha de ATR.  Resultados:  De un total de 96 pacientes, sólo tres (3.1%) presentaban las características clínicas y bioquímicas compatibles con ATR primario. Otros dos tuvieron ATR secundaria. En los 91 casos que se descartó ATR, en quienes solamente había uno o dos datos que podrían sugerir el diagnóstico (principalmente retraso en el crecimiento), y algunos niños inapropiadamente ya tenían tratamiento para ATR.  Conclusión:  Se encontró que existen múltiples casos con falsos diagnósticos de ATR. Esperamos que esta información ayude para sensibilizar al personal de salud para mejorar el proceso diagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  In recent years, the number of cases with suspected or diagnosed renal tubular acidosis (RTA) that have been sent to the Pediatric Nephrology services has increased, but without corroborating the diagnosis.  Objective:  To describe the frequency of RTA in a Pediatric Nephrology service.  Material and methods:  An observational and descriptive study of patients attended in six years in a third level hospital in Guadalajara, Jalisco was carried out. The information corresponding to all patients with suspected or diagnosed RTA was retreived from clinical records.  Results:  Out of a total of 96 patients, only three (3.1%) presented the clinical and biochemical characteristics compatible with primary RTA. Two more had secondary RTA. In the 91 cases that RTA was ruled out, they only had one or two data that could suggest the diagnosis (mainly growth retardation), and some children were inappropriately treated for RTA.  Conclusion:  It was found that there are multiple cases with false diagnosis of RTA. We hope this information helps to sensitize health personnel to improve the diagnostic process.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Acidosis tubular renal]]></kwd>
<kwd lng="es"><![CDATA[falsos diagnósticos]]></kwd>
<kwd lng="es"><![CDATA[retraso en el crecimiento]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="en"><![CDATA[Renal tubular acidosis]]></kwd>
<kwd lng="en"><![CDATA[false diagnosis]]></kwd>
<kwd lng="en"><![CDATA[growth retardation]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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