“ABERRANT PRESENTATION OF SJOGREN'S SYNDROME LEADING TO HYPOKALEMIC PERIODIC PARALYSIS – A CASE REPORT”

Abstract

Tubulointerstitial nephritis (TIN) is the main renal involvement associated with primary Sjögren syndrome (pSS). TIN can manifest as distal renal tubular acidosis (RTA), nephrogenic diabetes insipidus, proximal tubular dysfunction, and others. We present a 50-year-old female with hypokalemic paralysis due to distal RTA(dRTA). She received symptomatic treatment and potassium supplementation with a good response. The evidence suggests that there is an inammatory background and therefore a potential serious affection to these patients, such as hypokalemic paralysis. For pSS-associated Tubulo-interstitial nephritis, we suggest symptomatic therapy with potassium supplementation and corticosteroids combination in treatment.