title: An Unusual Initial Presentation of Sjögren's Syndrome: Severe Hypokalemic Paralysis Secondary to Distal Renal Tubular Acidosis.
abstract: Sjögren's syndrome is mainly affects the exocrine glands. Patients usually complain of persistent dryness of the mouth and eyes. However, nonexocrine organs such as the kidneys are often affected in these patients. Distal renal tubular acidosis (dRTA) and interstitiel nephritis are common in Sjögren's syndrome. Nonetheless, severe hypokalemia and paralysis secondary to dRTA are unusual initial manifestation of Sjögren's syndrome. Here, we describe a case of a 48 year old women admitted to the emergency setting with severe hypokalemic paralysis and diagnosed Sjögren's syndrome.
authors.affiliation: Department of Nephrology, Kocaeli Derince Education and Research Hospital, Kocaeli, Turkey.
authors.forename: Erkan
authors.initials: E
authors.lastname: Sengul
authors.affiliation: Department of Internal Medicine, Kocaeli Derince Education and Research Hospital, Kocaeli, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Bunul
authors.affiliation: Department of Rheumatology, Sakarya Education and Research Hospital, Sakarya, Turkey.
authors.forename: Ayten
authors.initials: A
authors.lastname: Yazici
authors.affiliation: Department of Chest Disease, Darica Farabi State Hospital, Kocaeli, Turkey.
authors.forename: Aysun
authors.initials: A
authors.lastname: Sengul
authors.affiliation: Department of Internal Medicine, Kocaeli Derince Education and Research Hospital, Kocaeli, Turkey.
authors.forename: Sevim
authors.initials: S
authors.lastname: Dindar
authors.affiliation: Department of Internal Medicine, Kocaeli Derince Education and Research Hospital, Kocaeli, Turkey.
authors.forename: Gökçen Selma Kilic
authors.initials: GS
authors.lastname: Halhalli
authors.affiliation: Department of Internal Medicine, Kocaeli Derince Education and Research Hospital, Kocaeli, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Binnetoglu
keywords: Acidosis; hypokalemic paralysis; sjogren’s syndrome