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Sjögren's syndrome presenting as hypokalemic paralysis due to distal renal tubular acidosis.

Authors
  • Zimhony, O
  • Sthoeger, Z
  • Ben David, D
  • Bar Khayim, Y
  • Geltner, D
Type
Published Article
Journal
The Journal of rheumatology
Publication Date
Dec 01, 1995
Volume
22
Issue
12
Pages
2366–2368
Identifiers
PMID: 8835579
Source
Medline
License
Unknown

Abstract

A 57-year-old woman presented with a flaccid paralysis, muscle tenderness, and respiratory depression. Laboratory results demonstrated severe hypokalemia with hyperchloremic metabolic acidosis and abnormally acidified urine. The urinary anion gap was positive in the presence of acidemia, thus establishing the diagnosis of distal renal tubular acidosis (DRTA). The patient fully recovered after potassium and alkali replacement. Further investigation revealed Sjögren's syndrome as the underlying cause of DRTA.

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