Reddy K Sairam, Jha Vivekanand, Nada Ritambra, Kohli Harbir S, Sud Kamal, Gupta Krishan L, Sakhuja Vinay
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Natl Med J India. 2003 Sep-Oct;16(5):253-4.
We report a 28-year-old woman who presented with quadriparesis and respiratory failure, and had severe hypokalaemia and distal renal tubular acidosis. She recovered completely on potassium and alkali supplementation. Biopsy and scintigraphy of the minor salivary glands confirmed the presence of Sjogren syndrome. A 6-month course of prednisolone did not correct the distal renal tubular acidosis.
我们报告了一名28岁女性,她出现四肢瘫痪和呼吸衰竭,伴有严重低钾血症和远端肾小管酸中毒。补充钾和碱后她完全康复。小唾液腺活检和闪烁扫描证实存在干燥综合征。泼尼松龙治疗6个月未能纠正远端肾小管酸中毒。