Apparently persistent weakness after recurrent hypokalemic paralysis: A tale of two disorders

Nandhagopal Ramachandiran

doi:10.1097/SMJ.0b013e3181809186

Apparently persistent weakness after recurrent hypokalemic paralysis: A tale of two disorders

Nandhagopal Ramachandiran^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	940-942
Number of pages	3
Journal	Southern Medical Journal
Volume	101
Issue number	9
DOIs	https://doi.org/10.1097/SMJ.0b013e3181809186
Publication status	Published - Sept 2008
Externally published	Yes

Keywords

Distal renal tubular acidosis type I
Hypokalemic paralysis
Osteomalacia
Sjögren syndrome

ASJC Scopus subject areas

General Medicine

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10.1097/SMJ.0b013e3181809186

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title = "Apparently persistent weakness after recurrent hypokalemic paralysis: A tale of two disorders",

abstract = "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 Sj{\"o}gren 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.",

keywords = "Distal renal tubular acidosis type I, Hypokalemic paralysis, Osteomalacia, Sj{\"o}gren syndrome",

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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

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JO - Southern Medical Journal

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ER -

Apparently persistent weakness after recurrent hypokalemic paralysis: A tale of two disorders

Abstract

Keywords

ASJC Scopus subject areas

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