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Matsumura, R., Kondo, Y., Sugiyama, T., Sueishi, M., Koike, T., Takabayashi, K., et al. (1988) Immunohistochemical Identification of Infiltrating Mononuclear Cells in Tubulointerstitial Nephritis Associated with Sjögren’s Syndrome. Clinical Nephrology, 30, 335-340.

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• TITLE: Hypokalemic Paresis Revealing a Primary Sjögren’s Syndrome

  AUTHORS: Madiha Mahfoudhi, Hedia Bellali, Imen Gorsane, Mounira El Euch, Sami Turki, Taieb Ben Abdallah

  KEYWORDS: Sjögren’s Syndrome, Hypokalemia, Interstitial Nephritis, Tubulopathy

  JOURNAL NAME: Open Journal of Internal Medicine, Vol.5 No.3, August 20, 2015

  ABSTRACT: Hypokalemic acidosis can complicate a primary Sjögren’s syndrome. The clinical feature is rarely revealed by manifestations due to hypokalemia. We report the case of a 46-year-old woman, admitted to explore a paresthesia and paresis of inferior limbs. The diagnosis of Sjögren’s syndrome was retained since there was the association of xerophthalmia, sialadenitis at the labial biopsy and positive immunological results (anti-SSA and anti-SSB). The absence of another auto-immune or systemic illness allowed us to consider that the Sjögren’s syndrome was primary. The biological explorations revealed a hyperchloremic and hypokalemic acidosis. The treatment was based on corticosteroid and potassium supplementation. The follow-up was marked by a clinical and biological amelioration.