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Living with Distal renal tubular acidosis

A kidney condition in which the body can't remove enough acid, which can slow growth, weaken bones, and cause kidney stones.

Understanding Distal renal tubular acidosis

Distal renal tubular acidosis is a kidney condition in which the kidneys can't remove enough acid from the body, so the blood becomes too acidic.

This summary describes the form linked to the SLC4A1 gene. The extra acid in the blood (metabolic acidosis) can slow growth and soften and weaken bones (rickets in children, osteomalacia in adults). Many people have extra calcium in the urine, calcium deposits in the kidneys, and kidney stones. Some people also have blood cell differences. The complete form usually shows up in childhood, but symptoms can begin at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Poor weight gain and slow growth
  • Short height
  • Kidney stones
  • Calcium deposits in the kidneys (nephrocalcinosis)
  • Weak, low-density bones
  • Muscle weakness

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Kidney Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing for SLC4A1 help our family?
How can my bones and growth be monitored?
How often should my kidneys and blood acid levels be checked?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive

GARD describes this form as linked to the SLC4A1 gene. It can be passed down in an autosomal dominant way (one changed copy is enough) or an autosomal recessive way (a changed copy from each parent).

GeneticKidney

Also known as: albright's renal tubular acidosis; classic distal renal tubular acidosis; classic rta; distal renal tubular acidosis (disease); drta; familial distal primary acidosis

Patient organizations

Source: NIH GARD · Distal renal tubular acidosisGARD ID 4667 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Distal renal tubular acidosis.

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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