Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome

Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome Publisher Pubmed

Seirafian S^{1, 2} ; Shafie M¹ ; Abedini A¹ ; Pakzad B³ ; Roomizadeh P¹

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1. Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Iran
2. Department of Nephrology, Isfahan University of Medical Sciences, Iran
3. Department of Internal Medicine, Isfahan University of Medical Sciences, Iran

Source: Internal Medicine Published:2016

Abstract

We herein report the case of a 64-year old woman with recurrent attacks of hypokalemic quadriparesis which resulted from distal renal tubular acidosis (dRTA) secondary to Sjogren syndrome. The patient presented with sudden onset quadriparesis. A physical examination showed symmetric weakness of all four limbs. Severe hypokalemia (1.8 mEq/L), accompanied by normal anion gap metabolic acidosis, a positive urine anion gap and an inappropriately high urine pH pointed toward the diagnosis of dRTA. Further investigations disclosed primary Sjogren syndrome, which had not previously been recognized. On the basis of the current report and a review of the literature we suggest investigating the possibility of Sjogren syndrome in all patients with clinically unexplained dRTA. © 2016 The Japanese Society of Internal Medicine.

Style	Citing Format
MLA	Seirafian S, et al.. "Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome." Internal Medicine, vol. 55, no. 13, 2016, pp. 1797-1800.
APA	Seirafian S, Shafie M, Abedini A, Pakzad B, Roomizadeh P (2016). Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome. Internal Medicine, 55(13), 1797-1800.
Chicago	Seirafian S, Shafie M, Abedini A, Pakzad B, Roomizadeh P. "Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome." Internal Medicine 55, no. 13 (2016): 1797-1800.
Harvard	Seirafian S et al. (2016) 'Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome', Internal Medicine, 55(13), pp. 1797-1800.
Vancouver	Seirafian S, Shafie M, Abedini A, Pakzad B, Roomizadeh P. Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome. Internal Medicine. 2016;55(13):1797-1800.
BibTex	@article{ author = {Seirafian S and Shafie M and Abedini A and Pakzad B and Roomizadeh P}, title = {Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome}, journal = {Internal Medicine}, volume = {55}, number = {13}, pages = {1797-1800}, year = {2016} }
RIS	TY - JOUR AU - Seirafian S AU - Shafie M AU - Abedini A AU - Pakzad B AU - Roomizadeh P TI - Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjogren Syndrome JO - Internal Medicine VL - 55 IS - 13 SP - 1797 EP - 1800 PY - 2016 ER -

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