• Presse Med · Nov 1999

    Case Reports

    [Hypokalemic quadriplegia with distal tubular acidosis revealing a a case of primary Gougerot-Sjögren syndrome].

    • C Raynal, S Durupt, I Durieu, C Boudray, F Bouhour, R Levrat, and D Vital Durand.
    • Service de Médecine Interne du Pr Vital Durand, Centre Hospitalier Lyon Sud, Pierre Bénite.
    • Presse Med. 1999 Nov 13;28(35):1935-7.

    BackgroundPrimary Sjögren's syndrome is associated in 6 to 25% of cases with kidney involvement Most often it is a chronic interstitial nephritis, generally asymptomatic but sometimes responsible for distal tubular acidosis which can be complicated by severe hypokalemia.Case ReportA 48-year-old woman had hypokalemic quadriplegia, distal renal tubular acidosis and chronic interstitial nephritis at kidney biopsy. Primary Sjögren's syndrome was diagnosed.DiscussionWe discuss briefly the clinical, biological and immunological features of 18 similar cases reported in the literature.

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