{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T20:58:21Z","timestamp":1781125101507,"version":"3.54.1"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,2,28]]},"abstract":"<jats:p>We describe the clinical course of renal tubular acidosis (RTA) type 4 in pregnancy, which has not been previously published. Renal tubular acidosis type 4 is a condition associated with increased urinary ammonia secondary to hypoaldosteronism or pseudohypoaldosteronism. Pregnancy may worsen the hyperkalaemia and acidosis of renal tubular acidosis type 4, possibly through an antialdosterone effect. We advise regular monitoring of potassium and pH throughout pregnancy to ensure safe levels are maintained.<\/jats:p>","DOI":"10.1136\/bcr-2016-214798","type":"journal-article","created":{"date-parts":[[2016,3,17]],"date-time":"2016-03-17T16:53:39Z","timestamp":1458233619000},"page":"bcr2016214798","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Renal tubular acidosis type 4 in pregnancy"],"prefix":"10.1136","volume":"2016","author":[{"given":"Adam Daniel","family":"Jakes","sequence":"first","affiliation":[{"name":"Hammersmith Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Baynes","sequence":"additional","affiliation":[{"name":"Ealing Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Nelson-Piercy","sequence":"additional","affiliation":[{"name":"Women's Directorate Office, Guy's and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,3,17]]},"reference":[{"key":"2025082802201145000_2016.mar17_1.bcr2016214798.1","doi-asserted-by":"publisher","DOI":"10.5049\/EBP.2007.5.2.126"},{"key":"2025082802201145000_2016.mar17_1.bcr2016214798.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2008.06.011"},{"key":"2025082802201145000_2016.mar17_1.bcr2016214798.3","doi-asserted-by":"publisher","DOI":"10.1530\/eje.0.1460789"},{"key":"2025082802201145000_2016.mar17_1.bcr2016214798.4","doi-asserted-by":"publisher","DOI":"10.1007\/s004240050103"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-214798","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:20:17Z","timestamp":1756372817000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-214798"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,17]]},"references-count":4,"alternative-id":["10.1136\/bcr-2016-214798"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-214798","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,17]]}}}