ISSN 1308-8734 | E-ISSN 1308-8742
Case Report
An Unusual Initial Presentation of Sjögren’s Syndrome: Severe Hypokalemic Paralysis Secondary to Distal Renal Tubular Acidosis
1 Department of Nephrology, Kocaeli Derince Education and Research Hospital, Kocaeli, Turkey  
2 Department of Internal Medicine, Kocaeli Derince Education and Research Hospital, Kocaeli, Turkey  
3 Department of Rheumatology, Sakarya Education and Research Hospital, Sakarya, Turkey  
4 Department of Chest Disease, Darica Farabi State Hospital, Kocaeli, Turkey  
Eurasian J Med 2013; 45: 218-221
DOI: 10.5152/eajm.2013.43
Key Words: Acidosis, hypokalemic paralysis, sjogren’s syndrome

Sjögrens syndrome is mainly affects the exocrine glands. Patients usually complain of persistent dryness of the mouth and eyes. However, nonexocrine organs such as the kidneys are often affected in these patients. Distal renal tubular acidosis (dRTA) and interstitiel nephritis are common in Sjögrens syndrome. Nonetheless, severe hypokalemia and paralysis secondary to dRTA are unusual initial manifestation of Sjögrens syndrome. Here, we describe a case of a 48 year old women admitted to the emergency setting with severe hypokalemic paralysis and diagnosed Sjögrens syndrome.  

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