Publication: Sjogren's Syndrome in the Mask of Hypokalemia: A Case Report
Date
2024
Authors
Sodari, Krishna Bahadur
Basnet, Pragyan
Adhikari, Krishna
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Sjogren's syndrome is an autoimmune disease characterized by lymphocytic infiltration of exocrine glands resulting in xerostomia and dry eyes affecting entire body. A 40-year-old woman presented with generalized weakness and shortness of breath. She had reduced muscle power (2/5) with reduced tone, and absent reflexes in four limbs. Further investigation revealed severe hypokalemia with metabolic acidosis. She was treated with intravenous potassium chloride and diagnosed with Sjogren's syndrome based on her serology profile. After treatment, her condition improved. Hypokalemia occurs due to increased renal excretions of potassium. Distal Renal Tubular Acidosis is a major cause of potassium loss in urine. Sjogren's Syndrome is an important cause of Distal Renal Tubular Acidosis, which can present as severe hypokalemia. Although it commonly presents with symptoms like dry eyes and dry mouth, it can rarely present as Distal Renal Tubular Acidosis and hypokalemia as the primary presentation. Sjogren's syndrome should be suspected in patients with hypokalemia with features of Distal Renal Tubular Acidosis.
Description
Krishna Bahadur Sodari
Achham District Hospital, Mangalsen, Achham, Nepal
Pragyan Basnet
Bodegaun Primary Hospital, Indrawati, Sindhupalchok, Nepal
Krishna Adhikari
Department of Internal Medicine, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal