Respiratory paralysis in Sjogren syndrome with normal renal function.
We report a 28-year-old woman who presented with quadriparesis and respiratory failure, and had severe hypokalaemia and distal renal tubular acidosis. She recovered completely on potassium and alkali supplementation. Biopsy and scintigraphy of the minor salivary glands confirmed the presence of Sjogren syndrome. A 6-month course of prednisolone did not correct the distal renal tubular acidosis.
Reddy
K Sairam
KS
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Jha
Vivekanand
V
Nada
Ritambra
R
Kohli
Harbir S
HS
Sud
Kamal
K
Gupta
Krishan L
KL
Sakhuja
Vinay
V
D000141:Acidosis, Renal Tubular / Q000188:drug therapy / Q000209:etiology; D000328:Adult; D001706:Biopsy; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000150:complications; D011877:Radionuclide Imaging; D012133:Respiratory Paralysis / Q000209:etiology*; D012469:Salivary Glands / Q000473:pathology; D012859:Sjogren's Syndrome / Q000150:complications* / Q000175:diagnosis*