TY - JOUR
T1 - Apparently persistent weakness after recurrent hypokalemic paralysis
T2 - A tale of two disorders
AU - Ramachandiran, Nandhagopal
PY - 2008/9
Y1 - 2008/9
N2 - A 19-year-old woman presented with recurrent hypokalemic paralysis, followed by apparently persistent symptoms due to coexisting osteomalacia. Distal renal tubular acidosis type 1 (dRTA1) linked the metabolic abnormalities and occurred as an extraglandular feature of Sjögren syndrome (SS). This case highlights the fact that in the setting of recurrent hypokalemia, apparently progressive weakness should be distinguished from primary hypokalemic paralysis and evaluated for dRTA1, as the metabolic alterations are potentially treatable. Further dRTA1 may precede the occurrence of sicca syndrome in SS.
AB - A 19-year-old woman presented with recurrent hypokalemic paralysis, followed by apparently persistent symptoms due to coexisting osteomalacia. Distal renal tubular acidosis type 1 (dRTA1) linked the metabolic abnormalities and occurred as an extraglandular feature of Sjögren syndrome (SS). This case highlights the fact that in the setting of recurrent hypokalemia, apparently progressive weakness should be distinguished from primary hypokalemic paralysis and evaluated for dRTA1, as the metabolic alterations are potentially treatable. Further dRTA1 may precede the occurrence of sicca syndrome in SS.
KW - Distal renal tubular acidosis type I
KW - Hypokalemic paralysis
KW - Osteomalacia
KW - Sjögren syndrome
UR - http://www.scopus.com/inward/record.url?scp=53449084696&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=53449084696&partnerID=8YFLogxK
U2 - 10.1097/SMJ.0b013e3181809186
DO - 10.1097/SMJ.0b013e3181809186
M3 - Article
C2 - 18708979
AN - SCOPUS:53449084696
SN - 0038-4348
VL - 101
SP - 940
EP - 942
JO - Southern Medical Journal
JF - Southern Medical Journal
IS - 9
ER -