Osteomalacia revealing Sjogren's syndrome: A case report

被引:7
作者
Jallouli, M. [1 ]
Frigui, M. [1 ]
Marzouk, S. [1 ]
Kaddour, N. [1 ]
Kechaou, M. [1 ]
Frikha, F. [1 ]
Bahloul, Z. [1 ]
机构
[1] CHU Hedi Chaker, Serv Med Interne, Sfax 3029, Tunisia
来源
REVUE DE MEDECINE INTERNE | 2008年 / 29卷 / 04期
关键词
Sjogren's syndrome; Osteomalacia; renal tubular acidosis;
D O I
10.1016/j.revmed.2007.09.028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction. - The most common renal disease in Sjogren's syndrome is tubulo-interstitial nephritis, responsible for tubular acidosis in around 20% of patients. Osteomalacia exceptionally occurs as the first manifestation of a renal tubule disorder due to a Sjogren's syndrome. Exegesis. - We report a case of a 20-year-old woman with tubular acidosis induced osteomalacia secondary to primary Sjogren's syndrome. Improvement was obtained with bicarbonates, vitamin D, calcium and high-dose steroid therapy. Conclusion: During Sjogren's syndrome, osteomalacia can complicate the distal renal tubular acidosis. In spite of the rare cases of osteomalacia revealing Sjogren's syndrome, this auto-immune disease must appear in the list of the aetiologies of osteomalacia. (C) 2007 Elsevier Masson SAS. Tous droits reserves.
引用
收藏
页码:311 / 314
页数:4
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