Hypokalaemic paralysis revealing Sjogren syndrome in an elderly man

被引：17

作者：

Al-Jubouri, MA ^{[1
]}

Jones, S

Macmillan, R

Harris, C

Griffiths, RD

机构：

[1] Whiston Hosp, Dept Chem Pathol, Prescot L35 5DR, Merseyside, England

[2] Whiston Hosp, Intens Care Unit, Prescot L35 5DR, Merseyside, England

来源：

JOURNAL OF CLINICAL PATHOLOGY | 1999年 / 52卷 / 02期

关键词：

hypokalaemic paralysis; renal tubular acidosis; Sjogren syndrome;

D O I：

10.1136/jcp.52.2.157

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

A 73 year old white man presented with life threatening hypokalaemic paralysis requiring admission to an intensive care unit. Biochemical investigations showed severe hypokalaemia with hyperchloraemic metabolic acidosis, a spot urine pH of 6.5, and a positive urinary anion gap, establishing the diagnosis of distal renal tubular acidosis. Autoimmune tests revealed Sjogren syndrome as the underlying cause of the distal renal tubular acidosis. Full recovery followed potassium and alkali replacement. This dramatic presentation of Sjogren syndrome has not previously been reported in an elderly man.

引用

页码：157 / 158

页数：2

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