title: Primary Sjö-gren's syndrome presenting with distal, renal tubular acidosis and rhabdomyolysis.
abstract: Primary Sjögren's syndrome (PSS) is rare in India. Clinically manifest renal disease in PSS is uncommon and is usually an autoimmune tubulointerstitial nephritis presenting with distal renal tubular acidosis (dRTA) or a urinary concentrating defect. Hypokalemic paralysis due to dRTA in PSS is rare but well documented in medical literature. Rhabdomyolysis as a consequence of hypokalemia in PSS is exceptional. We report a case of PSS with dRTA and rhabdomyolysis causing prolonged respiratory failure and quadriparesis.
authors.affiliation: CSI Kalyani Multispeciality Hospital, 15, Dr. Radhakrishnan Salai, Mylapore, Chennai.
authors.forename: E B S
authors.initials: EB
authors.lastname: Prakash
authors.forename: M E
authors.initials: ME
authors.lastname: Fernando
authors.forename: Malathi
authors.initials: M
authors.lastname: Sathiyasekaran
authors.forename: R M
authors.initials: RM
authors.lastname: Bhoopathy
authors.forename: J J
authors.initials: JJ
authors.lastname: Jayanth
authors.forename: J
authors.initials: J
authors.lastname: Samuel
mesh_terms: D000141:Acidosis, Renal Tubular / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000150:complications*; D008875:Middle Aged; D012206:Rhabdomyolysis / Q000175:diagnosis* / Q000209:etiology; D012859:Sjogren's Syndrome / Q000150:complications / Q000175:diagnosis*