Hypokalemic paralysis due to primary sjögren syndrome: Literature review

@article{Rissardo2020HypokalemicPD,
  title={Hypokalemic paralysis due to primary sj{\"o}gren syndrome: Literature review},
  author={J. Rissardo and Ana Let{\'i}cia Fornari Caprara},
  journal={Indian Journal of Medical Specialities},
  year={2020},
  volume={11},
  pages={51 - 53}
}
  • J. RissardoA. Caprara
  • Published 1 January 2020
  • Medicine, Psychology
  • Indian Journal of Medical Specialities
Dear Editor, We read an article in “Indian Journal of Medical Specialities” with great interest. Singh et al., in 2019, reported a case of an adult female who presented with acute quadriplegia and respiratory distress. A diagnosis of renal tubular acidosis (RTA) type 1 (distal) was made. On further tests, antiSjögren’s syndrome (SS)-A/Ro and antiSS-B/La were strongly positive. A diagnosis of SS with hypokalemia due to RTA and demyelinating pure motor axonal polyneuropathy was made. After 3… 
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Acute flaccid Paralysis as first presentation of Primary Sjogren’s Syndrome: A case report from Nepal

A case of a 35-year-old woman who presented with acute flaccid paralysis with respiratory failure who was later diagnosed as Primary Sjogren’s syndrome is reported.

References

SHOWING 1-10 OF 32 REFERENCES

Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjögren Syndrome.

A 64-year old woman with recurrent attacks of hypokalemic quadriparesis which resulted from distal renal tubular acidosis (dRTA) secondary to Sjögren syndrome is reported, suggesting investigating the possibility of Sj Ögren syndrome in all patients with clinically unexplained dRTA.

Hypokalemic paralysis revealing Sjögren’s syndrome

Hypokalemic paralysis as a presenting manifestation of primary Sjögren's syndrome: A report of two cases

A high index of suspicion for pSS should be kept in all patients with hypokalemic paralysis and on work up found evidence of distal RTA, which on further work up was found to be secondary to pSS.

Primary Sjo¨gren’s Syndrome Presenting as Hypokalaemic Periodic Paralysis and Respiratory Arrest

The diagnosis of primary Sjo¨gren’s syndrome should be considered in premenopausal women who present with rapidly progressive weakness and hypokalaemia, with or without the sicca complex.

Primary Sjogren's syndrome presenting as hypokalemic paralysis: A case series

Renal tubular dysfunction can be the presenting manifestation of primary Sjögren's syndrome, and it is important to consider the possible presence of this disorder in adults with otherwise unexplained distal RTA or hypokalemia.

Hypokalemic paralysis and osteomalacia secondary to renal tubular acidosis in a case with primary Sjögren's syndrome

A 39-year-old Japanese woman admitted to the authors' hospital for severe weakness owing to potassium deficiency caused by type 1 renal tubular acidosis (RTA1) revealed that she had Sjögren's syndrome (SS), which was corrected by alkali supplement treatment.

Primary presentation with acute flaccid quadriparesis in Sjogren's syndrome sans sicca

Clinical examination confirmed the presence of flaccid quadriparesis with preserved tendon reflexes and type 1 renal tubular acidosis secondary to Sjogren's syndrome in a 40-year-old housewife who presented with vomiting since past 5 days and weakness of all four limbs since 1 day.

Sjögren's syndrome presenting as hypokalemic paralysis.

Hypokalemic periodic paralysis in Sjogren’s syndrome secondary to distal renal tubular acidosis

A 53-year-old Turkish female presented with progressive weakness and mild dyspnea and autoimmune and other tests revealed Sjögren syndrome as the underlying cause of the distal renal tubular acidosis.

Sjogren's syndrome with distal renal tubular acidosis presenting as hypokalaemic paralysis

It was concluded that the distal RTA secondary to Sjogren's syndrome was the cause of severe hypokalaemia in the patient and the favourable response of the patient to potassium replacement alone.