Hypokalemic Paralysis Due to Renal Tubular Acidosis as the Initial Presentation of Sjogren’s Syndrome
Naveen Kumar Rajput1, Ritika Abrol2* and Manasvi Kalra3
1Assistant Professor, Himalayan Hospital, SRHU, Jolly Grant, Uttarakhand, India
2Senior Resident, Himalayan Hospital, SRHU, Jolly Grant, Uttarakhand, India
3Junior Resident, Himalayan Hospital, SRHU, Jolly Grant, Uttarakhand, India
*Corresponding Author: Ritika Abrol, Senior Resident, Himalayan Hospital, SRHU, Jolly Grant, Uttarakhand, India.
Received: March 06, 2023;
Published: March 24, 2023
We report a 45-year-old female with an initial presentation with proximal renal tubular acidosis (RTA) after initial presentation with hypokalaemic paralysis and metabolic acidosis. Serological investigations eventually exhibited positive anti-nuclear antibodies (ANA), anti-Sjögren’s syndrome related antigen A (SS-A), and anti-Sjögren’s syndrome related antigen B (SS-B) antibodies, thus indicating the diagnosis of Sjögren’s syndrome. This case is one of its kind as proximal RTA was the presenting clinical manifestation of Sjögren’s syndrome. We hope that a diagnosis of Sjögren’s syndrome will be considered in in patients with seemingly idiopathic RTA.
Keywords: Renal Tubular Acidosis (RTA); Sjögren’s Syndrome; COVID-19
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