Abstract
The AMJ is a peer-reviewed, triannual health journal published by Anuradhapura Clinical Society (ACS).The Journal strives to be a forum for all health professionals to publish original research and review articles in their area of expertise. The AMJ publishes articles in clinical medicine, public health and health promotion. Our priority is given to manuscripts on health related issues which affects the communities living in rural tropical communities. Established as a journal in 2006 as a publication parallel to ACS annual scientific sessions, the journal was relaunched as a proper journal in 2013. Anuradhapura Medical Journal is a member of COPE and is included on DOAJ.
Highlights
Primary Sjögren’s Syndrome is known to present with distal renal tubular acidosis, which could manifest as hypokalaemic paralysis
A magnetic resonance imaging revealed the “salt and pepper” appearance of bilateral parotid glands with glandular atrophy (Figure 1B). Even though she was clinically and biochemically euthyroid, given the background of thyroid dysfunction, we investigated for autoimmune thyroiditis (AIT) which was confirmed with imaging and a high anti-thyroid peroxidase antibody titre [532.71 IU/mL (
This is a rare case of AIT associated with Primary Sjögren’s Syndrome (pSS) complicated with distal renal tubular acidosis (dRTA) presenting with hypokalaemic paralysis
Summary
Primary Sjögren’s Syndrome (pSS) is known to present with distal renal tubular acidosis (dRTA), which could manifest as hypokalaemic paralysis. The main involvement of kidneys in pSS is tubulointerstitial nephritis. PSS is an autoimmune rheumatological condition that rarely co-exists with autoimmune thyroiditis [1]
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