• J Assoc Physicians India · Dec 2006

    Case Reports

    Primary Sjö-gren's syndrome presenting with distal, renal tubular acidosis and rhabdomyolysis.

    • E B S Prakash, M E Fernando, Malathi Sathiyasekaran, R M Bhoopathy, J J Jayanth, and J Samuel.
    • CSI Kalyani Multispeciality Hospital, 15, Dr. Radhakrishnan Salai, Mylapore, Chennai.
    • J Assoc Physicians India. 2006 Dec 1;54:949-50.

    AbstractPrimary Sjögren's syndrome (PSS) is rare in India. Clinically manifest renal disease in PSS is uncommon and is usually an autoimmune tubulointerstitial nephritis presenting with distal renal tubular acidosis (dRTA) or a urinary concentrating defect. Hypokalemic paralysis due to dRTA in PSS is rare but well documented in medical literature. Rhabdomyolysis as a consequence of hypokalemia in PSS is exceptional. We report a case of PSS with dRTA and rhabdomyolysis causing prolonged respiratory failure and quadriparesis.

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