TITLE:
Hypokalemic Paresis Revealing a Primary Sjögren’s Syndrome
AUTHORS:
Madiha Mahfoudhi, Hedia Bellali, Imen Gorsane, Mounira El Euch, Sami Turki, Taieb Ben Abdallah
KEYWORDS:
Sjögren’s Syndrome, Hypokalemia, Interstitial Nephritis, Tubulopathy
JOURNAL NAME:
Open Journal of Internal Medicine,
Vol.5 No.3,
August
20,
2015
ABSTRACT: Hypokalemic acidosis can complicate a primary Sjögren’s syndrome. The clinical feature is rarely revealed by manifestations due to hypokalemia. We report the case of a 46-year-old woman, admitted to explore a paresthesia and paresis of inferior limbs. The diagnosis of Sjögren’s syndrome was retained since there was the association of xerophthalmia, sialadenitis at the labial biopsy and positive immunological results (anti-SSA and anti-SSB). The absence of another auto-immune or systemic illness allowed us to consider that the Sjögren’s syndrome was primary. The biological explorations revealed a hyperchloremic and hypokalemic acidosis. The treatment was based on corticosteroid and potassium supplementation. The follow-up was marked by a clinical and biological amelioration.