National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

Renal tubular acidosis with deafness



Other Names:
Renal tubular acidosis, distal, with progressive nerve deafness; Autosomal recessive distal renal tubular acidosis with deafness; AR dRTA with hearing loss; Renal tubular acidosis, distal, with progressive nerve deafness; Autosomal recessive distal renal tubular acidosis with deafness; AR dRTA with hearing loss; AR dRTA wth deafness; Autosomal recessive distal renal tubular acidosis with hearing loss; Renal tubular acidosis type 1b; Renal tubular acidosis progressive nerve deafness; RTA with progressive nerve deafness; Renal tubular acidosis with progressive nerve deafness; Renal tubular acidosis, autosomal recessive, with progressive nerve deafness See More
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Renal tubular acidosis with deafness is characterized by kidney (renal) problems and sensorineural hearing loss. Infants with this condition may have problems with feeding and gaining weight (failure to thrive). Most children and adults with the condition have short stature, and many develop kidney stones. Other less common features include a softening and weakening of the bones and hypokalemic paralysis (extreme muscle weakness associated with low levels of potassium in the blood). Renal tubular acidosis with deafness is caused by mutations in the ATP6V1B1 or ATP6V0A4 gene. It is inherited in an autosomal recessive pattern.[1] Treatment with sodium bicarbonate or sodium citrate can reduce or prevent many of the symptoms of this condition.[2]
Last updated: 8/13/2015

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.

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Medical Terms Other Names
Learn More:
HPO ID
Percent of people who have these symptoms is not available through HPO
Autosomal recessive inheritance 0000007
Nephrolithiasis
Kidney stones
0000787
Renal tubular acidosis
Accumulation of acid in body due to kidney problem
0001947
Sensorineural hearing impairment 0000407
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Last updated: 7/1/2020

Making a diagnosis for a genetic or rare disease can often be challenging. Healthcare professionals typically look at a person’s medical history, symptoms, physical exam, and laboratory test results in order to make a diagnosis. The following resources provide information relating to diagnosis and testing for this condition. If you have questions about getting a diagnosis, you should contact a healthcare professional.

Testing Resources

  • The Genetic Testing Registry (GTR) provides information about the genetic tests for this condition. The intended audience for the GTR is health care providers and researchers. Patients and consumers with specific questions about a genetic test should contact a health care provider or a genetics professional.

If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.

If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can't travel to them for care.

You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.

Healthcare Resources


These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.

Where to Start

  • Genetics Home Reference (GHR) contains information on Renal tubular acidosis with deafness. This website is maintained by the National Library of Medicine.

In-Depth Information

  • The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. This initiative is a collaboration between several academic institutions across the world and is funded by the National Institutes of Health. Visit the website to explore the biology of this condition.
  • Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine. 
  • Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.

Questions sent to GARD may be posted here if the information could be helpful to others. We remove all identifying information when posting a question to protect your privacy. If you do not want your question posted, please let us know.


  1. Renal tubular acidosis with deafness. Genetics Home Reference. March 2014; http://ghr.nlm.nih.gov/condition/renal-tubular-acidosis-with-deafness. Accessed 8/13/2015.
  2. Renal Tubular Acidosis Page. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). September 9, 2010; http://www.niddk.nih.gov/health-information/health-topics/kidney-disease/renal-tubular-acidosis-rta/Pages/facts.aspx. Accessed 8/13/2015.