Document Detail


Primary Sjögren's syndrome presenting as hypokalaemic periodic paralysis and respiratory arrest.
MedLine Citation:
PMID:  11642520     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of hypokalaemic, flaccid quadriparesis with sudden respiratory arrest in a 27-year-old Japanese woman in whom the discovery of distal renal tubular acidosis led to the diagnosis of primary Sjögren's syndrome (SS). Hypokalaemic periodic paralysis as the initial manifestation of primary SS is rare, but when it occurs it may precede symptoms of xerostomia and xerophthalmia. The diagnosis of primary SS should be considered in premenopausal women who present with rapidly progressive weakness and hypokalaemia. with or without the sicca complex.
Authors:
T Fujimoto; H Shiiki; Y Takahi; K Dohi
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical rheumatology     Volume:  20     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2001  
Date Detail:
Created Date:  2001-10-19     Completed Date:  2002-03-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  365-8     Citation Subset:  IM    
Affiliation:
First Department of Internal Medicine, Nara Medical University, Kashihara, Japan. tfujimot@naramed-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Biopsy, Needle
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Hypokalemia / diagnosis*
Paralyses, Familial Periodic / diagnosis*
Quadriplegia / diagnosis
Respiratory Insufficiency / diagnosis*
Sjogren's Syndrome / diagnosis*

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