Julian, Matthew and Chakravorty, Trishna and Dyer, Philip (2011) Primary Sjögren's disease and its complications presenting with progressive paralysis. BMJ Case Reports, 2011. p. 3347. ISSN 1757-790X.Full text not available from this repository.
A 24-year-old female presented with generalised weakness, lethargy and aches in legs. She was subsequently found to be markedly hypokalaemic and have a metabolic acidosis. A diagnosis of distal renal tubular acidosis (RTA) was made. In addition to this failure to alkalinise her urine, she was unable to concentrate it and so a diagnosis of nephrogenic diabetes insipidus was reached. Further questioning revealed previous investigation of a connective tissue disorder thought to be primary Sjögren's syndrome. RTA is a recognised but rare complication of Sjögren's syndrome. Urinary alkalinisation using potassium bicarbonate was instituted; the patient responded well to treatment and is having outpatient follow-up.
|Subjects:||WD Diseases and disorders of systemic, metabolic or environmental origin
WK Endocrine system. Endocrinology
|Divisions:||Ambulatory Care > Diabetes|
|Depositing User:||Mrs Caroline Tranter|
|Date Deposited:||15 May 2013 08:21|
|Last Modified:||15 May 2013 08:21|
Actions (login required)