From Hypokalemic Crisis to Sjogren's Syndrome: A Case Report and Literature Review

Renal involvement occurs in approximately 5% of patients with Sjogren's syndrome (SS). We reported the case of a 20-year-old African woman who was received for paralysis of 4 limbs secondary to hypokalemia. The diagnosis of renal tubular acidosis type 1 complicated by hypokalemia was retained. In the etiologic research of renal tubular acidosis type 1, primary SS was retained. The patient received symptomatic treatment based on potassium chloride, sodium bicarbonate, hydration, and a low protein diet. In terms of etiological treatment, she was put on corticosteroid and hydroxychloroquine. The outcome was favorable with correction of acidosis and hypokalemia.

Automated summary

Renal involvement is present in around 5% of patients with Sjögren's syndrome, and this case report describes a 20-year-old African woman who experienced paralysis of four limbs due to renal tubular acidosis type 1 complicated by hypokalemia. Symptomatic and etiological treatments led to a favorable outcome with correction of acidosis and hypokalemia in this patient.