scholarly journals Hypokalemic quadriparesis due to renal tubular acidosis in a patient with Sjögren’s syndrome: A case series

2014 ◽  
Vol 3 (1) ◽  
pp. 30-33
Author(s):  
Abhishek Maskey ◽  
Neeraj Singh ◽  
Santosh Gautam ◽  
Prashant Bhattarai ◽  
Prakash Poudyal ◽  
...  

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

2014 ◽  
Vol 40 (2) ◽  
pp. 123-130 ◽  
Author(s):  
Rapur Ram ◽  
Gudithi Swarnalatha ◽  
Kaligotla Venkata Dakshinamurty

2021 ◽  
pp. 147-151
Author(s):  
Mansour Mbengue ◽  
Cedric Ouanekpone ◽  
Seynabou Diagne ◽  
Abdou Niang

Renal involvement occurs in approximately 5% of patients with Sjögren’s syndrome (SS). We reported the case of a 20-year-old African woman who was received for paralysis of 4 limbs secondary to hypokalemia. The diagnosis of renal tubular acidosis type 1 complicated by hypokalemia was retained. In the etiologic research of renal tubular acidosis type 1, primary SS was retained. The patient received symptomatic treatment based on potassium chloride, sodium bicarbonate, hydration, and a low protein diet. In terms of etiological treatment, she was put on corticosteroid and hydroxychloroquine. The outcome was favorable with correction of acidosis and hypokalemia.


1980 ◽  
Vol 69 (10) ◽  
pp. 1320-1326
Author(s):  
Tatsuhiko KODAMA ◽  
Toshitaka AKATSUKA ◽  
Kazuhiko YAMAMOTO ◽  
Tadao CHIHARA ◽  
Yasushi YUKIYAMA ◽  
...  

1998 ◽  
Vol 18 (2) ◽  
pp. 167-170
Author(s):  
Mangalathillam R.N. Nampoory ◽  
Kaivilyail V. Johny ◽  
Jaber Al-Ali ◽  
Jamal N. Costandy ◽  
Ram K. Gupta ◽  
...  

2013 ◽  
Vol 23 (2) ◽  
pp. 401-405 ◽  
Author(s):  
Sunao Yamamoto ◽  
Yosuke Okada ◽  
Hiroko Mori ◽  
Shintaro Hirata ◽  
Kazuyoshi Saito ◽  
...  

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