RENAL TUBULAR ACIDOSIS DUE TO SJOGREN'S SYNDROME PRESENTING AS HYPOKALEMIC QUADRIPARESIS: A CASE REPORT
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Date
2024-07
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Publisher
Era's Lucknow Medical College & Hospital, Lucknow in association with American University of Barbados (AUB)
Abstract
Sjögren's syndrome is characterized by dry mouth and eyes symptoms caused by lymphocyte infiltration of the exocrine glands as it is an autoimmune condition. Nonetheless, this condition can lead to symptoms and various illnesses. Renal tubular acidosis (RTA) occurs when the kidney tubules are unable to regulate acid-base balance. This study tracked a 40-year-old female who initially showed symptoms of hypokalemic stroke and normal anion gap acidosis and was later determined to have Sjögren's syndrome. The patient complains of weakness in the legs, vomiting, abdominal pain and dry cough. Like other Sjögren's symptoms, dry eyes and mouth have been present for years. Electrolyte abnormalities and lymphocytic infiltration in the lymph nodes can be confirmed by physical examination and laboratory tests. Positive antibodies, Schirmer test, and histology results indicate the diagnosis. Treatments include potassium replenishment, artificial tears, and the use of coconut oil. Early diagnosis and treatment can help prevent the condition from worsening and improve patient outcomes. It also emphasizes the importance of completing a comprehensive evaluation that includes organ system and specific markers of disease.
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Keywords
Sjogren Syndrome, Renal Tubular Acidosis, Hypokalemic Paralysis.
Citation
Islam Asif, Khurshid Fatima . RENAL TUBULAR ACIDOSIS DUE TO SJOGREN'S SYNDROME PRESENTING AS HYPOKALEMIC QUADRIPARESIS: A CASE REPORT . Era's Journal of Medical Research. 2024 Jul; 11(1): 124-127