Kocaeli Med J. 2016; 5(1): 49-52

Primary Sjögren's Syndrome Presenting with Hypokalemic Paralysis due to Distal Renal Tubular Acidosis: A Case Report

Didem Eroðlu¹, Erkan Þengül², Fulya Dörtbaþ³, Esra Yeþilyurt¹, Emre Dönmez^1
1Kocaeli Derince Education And Research Hospital, Department Of Internal Medicine, Kocaeli
²Kocaeli Derince Education And Research Hospital, Department Of Nephrology, Kocaeli
³Kocaeli Derince Education And Research Hospital, Department Of Rheumatology, Kocaeli

Sjögren's syndrome is characterized by lymphocytic infiltration of exocrine glands is a chronic autoimmune disease often arises with mouth and eye dryness complaints. Renal involvement in Sjögren's syndrome is not rare. Sjögren's syndrome often cause tubulointerstitial nephritis and distal renal tubular acidosis. Hypokalemia is the most common electrolyte disorder in patients with distal tubular acidosis. The etiology in patients with hypokalemia, paralysis and distal renal tubule acidosis should be considered Sjögren's syndrome.

Keywords: hypokalemia, normal anion gap metabolic acidosis, Sjögren's syndrome

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Distal Renal Tubüler Asidoza baðlý Hipokalemik Paralizi Geliþimi ile Ortaya Çýkan Primer Sjögren sendromu: Olgu Sunumu

Didem Eroðlu¹, Erkan Þengül², Fulya Dörtbaþ³, Esra Yeþilyurt¹, Emre Dönmez^1
1Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi, Ýç Hastalýklarý Kliniði, Kocaeli
²Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi, Nefroloji Kliniði, Kocaeli
³Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi, Romatoloji Kliniði, Kocaeli

ÖZET
Sjögren sendromu egzokrin bezlerin lenfositik infiltrasyonu ile karakterize kronik otoimmun bir hastalýk olup sýklýkla aðýz ve göz kuruluðu þikayetleri ile ortaya çýkmaktadýr. Sjögren sendromunda böbreklerin tutulumu nadir deðildir. Sjögren sendromu genellikle tubulointerstisyel nefrit ve distal renal tubüler asidoza (dRTA) neden olabilmektedir. Hipokalemi dRTA olan hastalarda en sýk görülen elektrolit bozukluðudur. Hipokalemik paralizi ve dRTA saptanan hastalarda etyolojide Sjögren sendromu göz önüne alýnmalýdýr.

Anahtar Kelimeler: hipokalemi, normal anyon açýklý metabolik asidoz, Sjögren sendromu

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