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Distal renal tubular acidosis (dRTA) is a rare kidney disorder characterized by impaired acid excretion in the distal tubules, resulting in a reduced ability to maintain normal acid-base balance. It is characterized by hyperchloremic metabolic acidosis, with an inability to acidify urine appropriately. dRTA can be either inherited or acquired and is associated with various underlying causes, including genetic mutations, autoimmune diseases, and medication side effects.