Hypokalaemic paralysis revealing Sjögren syndrome in an elderly man.
Open Access
- 1 February 1999
- journal article
- case report
- Published by BMJ in Journal of Clinical Pathology
- Vol. 52 (2) , 157-158
- https://doi.org/10.1136/jcp.52.2.157
Abstract
A 73 year old white man presented with life threatening hypokalaemic paralysis requiring admission to an intensive care unit. Biochemical investigations showed severe hypokalaemia with hyperchloraemic metabolic acidosis, a spot urine pH of 6.5, and a positive urinary anion gap, establishing the diagnosis of distal renal tubular acidosis. Autoimmune tests revealed Sjögren syndrome as the underlying cause of the distal renal tubular acidosis. Full recovery followed potassium and alkali replacement. This dramatic presentation of Sjögren syndrome has not previously been reported in an elderly man.Keywords
This publication has 9 references indexed in Scilit:
- An unusual presentation of Sjögren's syndrome.1996
- Sjögren's syndrome presenting as hypokalemic paralysis due to distal renal tubular acidosis.1995
- Retal tubular acidosis complicated with hypokalemic periodic paralysisPediatric Neurology, 1995
- Sjögren's syndrome presenting as hypokalemic periodic paralysisArthritis & Rheumatism, 1993
- Renal tubular acidosis in primary Sjögren's syndromeClinical Rheumatology, 1992
- HYPOKALEMIC PARALYSIS ASSOCIATED WITH RENAL TUBULAR ACIDOSISCritical Care Medicine, 1987
- Long-term low-dose glucocorticoid therapy associated with remission of overt renal tubular acidosis in Sjögren's syndromeThe American Journal of Medicine, 1985
- Hypokalemic Paralysis in Sjögren's Syndrome Secondary to Renal Tubular AcidosisScandinavian Journal of Rheumatology, 1985