Professional paper

Primary Sjögren’s syndrome and hypokalaemic paralysis - case report

Krešimir Galešić ; Department for Nephrology, Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine, Clinical Hospital “Dubrava”, Zagreb, Croatia
Jadranka Morović-Vergles ; Department for Nephrology, Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine, Clinical Hospital “Dubrava”, Zagreb, Croatia
Domagoj Vergles ; Department for Nephrology, Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine, Clinical Hospital “Dubrava”, Zagreb, Croatia
Ivana Račić ; Department for Nephrology, Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine, Clinical Hospital “Dubrava”, Zagreb, Croatia
Ivica Horvatić ; Department for Nephrology, Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine, Clinical Hospital “Dubrava”, Zagreb, Croatia

Abstract

We report a case of hypokalaemic quadriparesis in 31-year old woman in whom the discovery of distal renal tubular acidosis led to the diagnosis of primary Sjögren’s syndrome. Hypokalaemic paralysis as initial manifestation of primary Sjögren’s syndrome is rare, but when it occurs it may precede symptoms of xerostomia and xerophthalmia.
The diagnosis of primary Sjögren’s syndrome should be considered in young women who present with progressive weakness, hypokalaemia and metabolic acidosis.

Keywords

Sjögren’s syndrome; hypokalaemic paralysis; metabolic acidosis

Hrčak ID:

126026

URI

https://hrcak.srce.hr/126026

Publication date:

1.8.2004.

Article data in other languages: croatian

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