Publication:
Hypokalemic Paralysis Revealing Primary Sjogren's Syndrome: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorKhanal, Pitambar
dc.contributor.authorPaudel, Sandip
dc.contributor.authorChapagain, Subodh
dc.contributor.authorThapa, Saurav
dc.contributor.authorGyawali, Madan
dc.date.accessioned2025-08-27T05:49:13Z
dc.date.available2025-08-27T05:49:13Z
dc.date.issued2023
dc.descriptionPitambar Khanal Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal Sandip Paudel Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal Subodh Chapagain Manosamajik Apanga Bandi Hospital, Nakkhu, Lalitpur, Nepal Saurav Thapa National Academy of Health Sciences, Mahaboudha, Kathmandu, Nepal Madan Gyawali Department of Internal Medicine, Bakulahar Ratnanagar Hospital, Tandi, Chitwan, Nepal
dc.description.abstractAbstract Sjogren's syndrome is a rare chronic autoimmune disease characterised by dry eyes and dry mouth due to autoimmune destruction of the lacrimal and salivary glands, which can occur concurrently with other autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, or thyroiditis. It can lead to renal complications such as interstitial nephritis and glomerulonephritis, with distal/ type 1 renal tubular acidosis which may result in life-threatening electrolyte imbalance. We present a case of a 35-year-old female who presented with complaints of multiple episodes of muscle weakness. Type 1 renal tubular acidosis was discovered to be the cause of her symptoms which lead to the subsequent diagnosis of Sjogren’s syndrome. This is rare presentation of Sjogren’s syndrome, and it poses a challenge to diagnosis. Early detection and diagnosis of Sjogren's syndrome might be difficult due to existing diagnostic criteria, which contributes to a higher likelihood of missed diagnosis.
dc.identifierhttps://doi.org/10.31729/jnma.8266
dc.identifier.urihttps://hdl.handle.net/20.500.14572/2102
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.titleHypokalemic Paralysis Revealing Primary Sjogren's Syndrome: A Case Report
dc.typeOther
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage737
oaire.citation.startPage735
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relation.isJournalIssueOfPublication.latestForDiscoveryef458446-ec32-4bcf-adcf-b4eb4d4646c7
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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