Hypokalemic Paresis Revealing a Primary Sjogren’s Syndrome  

作　　者：Madiha Mahfoudhi Hedia Bellali Imen Gorsane Mounira El Euch Sami Turki Taieb Ben Abdallah 

机构地区：[1]Internal Medicine Department,Charles Nicolle Hospital,Tunis,Tunisia [2]Epidemiology and Statistics Department,Mami Hospital,Ariana,Tunisia

出　　处：《Open Journal of Internal Medicine》2015年第3期33-36,共4页内科学期刊（英文）

摘　　要：Hypokalemic acidosis can complicate a primary Sjögren’s syndrome. The clinical feature is rarely revealed by manifestations due to hypokalemia. We report the case of a 46-year-old woman, admitted to explore a paresthesia and paresis of inferior limbs. The diagnosis of Sjögren’s syndrome was retained since there was the association of xerophthalmia, sialadenitis at the labial biopsy and positive immunological results (anti-SSA and anti-SSB). The absence of another auto-immune or systemic illness allowed us to consider that the Sjögren’s syndrome was primary. The biological explorations revealed a hyperchloremic and hypokalemic acidosis. The treatment was based on corticosteroid and potassium supplementation. The follow-up was marked by a clinical and biological amelioration.Hypokalemic acidosis can complicate a primary Sjögren’s syndrome. The clinical feature is rarely revealed by manifestations due to hypokalemia. We report the case of a 46-year-old woman, admitted to explore a paresthesia and paresis of inferior limbs. The diagnosis of Sjögren’s syndrome was retained since there was the association of xerophthalmia, sialadenitis at the labial biopsy and positive immunological results (anti-SSA and anti-SSB). The absence of another auto-immune or systemic illness allowed us to consider that the Sjögren’s syndrome was primary. The biological explorations revealed a hyperchloremic and hypokalemic acidosis. The treatment was based on corticosteroid and potassium supplementation. The follow-up was marked by a clinical and biological amelioration.

关 键 词：Sjogren’s Syndrome HYPOKALEMIA Interstitial Nephritis TUBULOPATHY 

分 类 号：R5[医药卫生—内科学]