Abstract

A 17-year-old female with a history of bilateral sensorineural hearing loss developed symptoms of intermittent fevers, body aches, headaches, and weakness 1-2 months prior to admission

Highlights

  • A few days later, blood work was performed at her primary pediatrician’s office, prompting admission for severe hypokalemia and a metabolic acidosis

  • Sjogren’s syndrome is a chronic, progressive autoimmune disorder that primarily involves the exocrine glands, including lacrimal and salivary glands. It is rare in children, with clinical manifestations differing in the pediatric population compared to adults

  • Children tend to present with more systemic symptoms rather than sicca symptoms, with renal involvement reported to range from 7.1-19.2% [3]

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Summary

ARTICLE INFO

Citation: Zephyr D Dworsky, Christine Bakhoum, Peter Chiraseveenuprapund, Manaswitha K, Noureddin D Nourbakhsh. Sjogren’s Syndrome Presenting with Distal Renal Tubular Acidosis in Adolescence. Biomed J Sci & Tech Res 20(2)-2019. BJSTR. MS.ID.003433. Abbreviations: SS: Sjogrens Syndrome; TIN: Tubulointerstitial Nephritis; ABPM: Ambulatory Blood Pressure Monitor; UVJ: Ureteric/Ureterovesical Junction; EGD: Esophago Gastro Duodenoscopy; AKI: Acute Kidney Injury

Clinical Presentation Patient A
Salivary Gland Biopsy Results
Patient B
Patient A
Discussion
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