title: [Osteomalacia revealing Sjögren's syndrome: a case report].
abstract: BACKGROUND
  The most common renal disease in Sjögren's syndrome is tubulo-interstitial nephritis, responsible for tubular acidosis in around 20 % of patients. Osteomalacia exceptionally occurs as the first manifestation of a renal tubule disorder due to a Sjögren's syndrome.
  
  
  METHODS
  We report a case of a 20-year-old woman with tubular acidosis induced osteomalacia secondary to primary Sjögren's syndrome. Improvement was obtained with bicarbonates, vitamin D, calcium and high-dose steroid therapy.
  
  
  CONCLUSIONS
  During Sjögren's syndrome, osteomalacia can complicate the distal renal tubular acidosis. In spite of the rare cases of osteomalacia revealing Sjögren's syndrome, this auto-immune disease must appear in the list of the aetiologies of osteomalacia.
authors.affiliation: Service de médecine interne, CHU Hédi-Chaker, 3029 Sfax, Tunisie. friguimakram@yahoo.fr
authors.forename: M
authors.initials: M
authors.lastname: Jallouli
authors.forename: M
authors.initials: M
authors.lastname: Frigui
authors.forename: S
authors.initials: S
authors.lastname: Marzouk
authors.forename: N
authors.initials: N
authors.lastname: Kaddour
authors.forename: M
authors.initials: M
authors.lastname: Kechaou
authors.forename: F
authors.initials: F
authors.lastname: Frikha
authors.forename: Z
authors.initials: Z
authors.lastname: Bahloul
mesh_terms: D000141:Acidosis, Renal Tubular / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D051346:Mobility Limitation; D010018:Osteomalacia / Q000209:etiology*; D012859:Sjogren's Syndrome / Q000175:diagnosis*