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Renal Tubular Acidosis and Hypokalemic Paralysis as a First Presentation of Primary Sjögren’s Syndrome
Joint Authors
Adhikari, Shital
Sedhain, Arun
Acharya, Kiran
Sharma, Alok
Khan, Amir
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Sjögren’s syndrome is an autoimmune disease with multisystem involvement and varying clinical presentation.
We report the clinical course and outcome of a case who presented with repeated episodes of hypokalemia mimicking hypokalemic periodic paralysis and metabolic acidosis, which was later diagnosed as distal renal tubular acidosis secondary to primary Sjögren’s syndrome.
A 50-year-old lady, who was previously diagnosed as hypokalemic periodic paralysis, presented with generalized weakness and fatigue.
She was found to have severe hypokalemia with normal anion-gap metabolic acidosis consistent with distal renal tubular acidosis.
Subsequent evaluation revealed Sjögren’s syndrome as the cause of her problems.
Kidney biopsy done to evaluate significant proteinuria revealed nonproliferative morphology with patchy acute tubular injury and significant chronic interstitial nephritis.
The patient responded well to potassium supplementation and oral prednisolone.
Presentation of this case highlights the necessity of close vigilance while managing a case of repeated hypokalemia, which could be one of the rare clinical manifestations of Sjögren’s syndrome.
American Psychological Association (APA)
Sedhain, Arun& Acharya, Kiran& Sharma, Alok& Khan, Amir& Adhikari, Shital. 2018. Renal Tubular Acidosis and Hypokalemic Paralysis as a First Presentation of Primary Sjögren’s Syndrome. Case Reports in Nephrology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145277
Modern Language Association (MLA)
Sedhain, Arun…[et al.]. Renal Tubular Acidosis and Hypokalemic Paralysis as a First Presentation of Primary Sjögren’s Syndrome. Case Reports in Nephrology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145277
American Medical Association (AMA)
Sedhain, Arun& Acharya, Kiran& Sharma, Alok& Khan, Amir& Adhikari, Shital. Renal Tubular Acidosis and Hypokalemic Paralysis as a First Presentation of Primary Sjögren’s Syndrome. Case Reports in Nephrology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145277
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145277