Hypokalemic quadriparesis due to renal tubular acidosis in a patient with Sjögren’s syndrome: A case series
| Autor: | Neeraj Singh, Santosh Gautam, Prashant Bhattarai, Dhiraj Narayan Manandhar, Abhishek Maskey, Prakash Poudyal, Pramod Kumar Chhetri |
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| Rok vydání: | 2014 |
| Předmět: |
Osteomalacia
medicine.medical_specialty Weakness business.industry Autoantibody urologic and male genital diseases medicine.disease Gastroenterology Hypokalemia Renal tubular acidosis Distal renal tubular acidosis Internal medicine Female patient medicine Sjogren s medicine.symptom business Intensive care medicine |
| Zdroj: | Journal of Advances in Internal Medicine. 3:30-33 |
| ISSN: | 2091-1440 2091-1432 |
| DOI: | 10.3126/jaim.v3i1.10701 |
| Popis: | We report two cases of female patients presented with hypokalemia secondary to renal tubular acidosis. Sjögren’s syndrome was diagnosed in both the patients on the basis of histopathological and autoantibodies tests. The patients were treated with potassium and bicarbonate supplementation. Renal involvement in Sjögren’s syndrome is not uncommon and may precede sicca complaints. The pathology in most cases is a tubulointerstitial nephritis causing distal renal tubular acidosis and rarely, hypokalemic paralysis. The complications of renal tubular acidosis include life threatening hypokalemia, nephrolithiasis, chronic renal failure, growth retardation and osteomalacia. These consequences can be avoided if the diagnosis is made early and lifelong potassium and alkali supplementation is initiated. Primary Sjögren’s syndrome should be considered in women with acute weakness and hypokalemia. DOI: http://dx.doi.org/10.3126/jaim.v3i1.10701 Journal of Advances in Internal Medicine 2014;03(01):30-33 |
| Databáze: | OpenAIRE |
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