| CASE REPORT |
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| Year : 2020 | Volume
: 19
| Issue : 2 | Page : 147-149 |
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Hypokalemic paralysis as an initial presentation of Sjogren syndrome
Durga Shankar Meena, Deepak Kumar, Gopal Krishana Bohra, Sunil Kumar Bhambu
Department of Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Correspondence Address:
Dr. Durga Shankar Meena
Department of Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/aam.aam_34_19
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Sjogren syndrome (SS) is a systemic autoimmune disorder with predominant exocrine gland involvement leading to sicca symptoms. Among extraglandular manifestations, renal disease is the most common. Tubular interstitial nephritis and renal tubular acidosis (RTA) are the common presentations. Mild hypokalemia associated with distal RTA is common in SS, however, severe hypokalemia causing paralysis is unusual. We report the case of a 26-year-old female who presented with hypokalemic paralysis. On evaluation, distal RTA was diagnosed. Further evaluation showed positive SS-a/SS-b antibodies in high titer, which confirms the diagnosis of primary SS. Our report illustrates that SS is a rare but important cause of hypokalemic paralysis.
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