干燥综合征中的低钾性四肢瘫
Hypokalemic quadriparesis in Sjogren syndrome.
作者信息
Palkar A V, Pillai S, Rajadhyaksha G C
机构信息
Department of General Medicine, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, India.
出版信息
Indian J Nephrol. 2011 Jul;21(3):191-3. doi: 10.4103/0971-4065.83730.
Abstract
We report a 58-year-old woman who presented with acute quadriparesis, bulbar weakness, atrial fibrillation, ventricular ectopics, and distal renal tubular acidosis with severe hypokalemia. She recovered completely on potassium and alkali supplementation. The patient also had hypergammaglobulinemia with probable primary Sjogren syndrome.
摘要
我们报告了一名58岁女性，她出现急性四肢瘫、延髓肌无力、心房颤动、室性早搏以及伴有严重低钾血症的远端肾小管酸中毒。通过补充钾和碱，她完全康复。该患者还患有高球蛋白血症，可能患有原发性干燥综合征。
相似文献
1
Hypokalemic quadriparesis in Sjogren syndrome.干燥综合征中的低钾性四肢瘫
Indian J Nephrol. 2011 Jul;21(3):191-3. doi: 10.4103/0971-4065.83730.
2
Hypokalemic Quadriparesis As Initial Presentation of Secondary Sjogren Syndrome With Associated Autoimmune Thyroiditis: A Case Report.低钾性四肢瘫作为继发性干燥综合征合并自身免疫性甲状腺炎的首发表现：一例报告
Cureus. 2022 May 27;14(5):e25420. doi: 10.7759/cureus.25420. eCollection 2022 May.
3
Complete Hypokalemic Quadriparesis as a First Presentation of Sjögren Syndrome.完全性低钾性四肢瘫作为干燥综合征的首发表现
Can J Kidney Health Dis. 2018 May 10;5:2054358118774536. doi: 10.1177/2054358118774536. eCollection 2018.
4
Recurrent Attacks of Hypokalemic Quadriparesis: An Unusual Presentation of Primary Sjögren Syndrome.复发性低钾性四肢瘫痪：原发性干燥综合征的一种不寻常表现
Intern Med. 2016;55(13):1797-800. doi: 10.2169/internalmedicine.55.6453. Epub 2016 Jul 1.
5
Respiratory paralysis in Sjogren syndrome with normal renal function.肾功能正常的干燥综合征患者出现呼吸麻痹。
Natl Med J India. 2003 Sep-Oct;16(5):253-4.
6
Hypokalemic quadriparesis associated with renal tubular acidosis in a patient with Sjögren's syndrome.干燥综合征患者中与肾小管酸中毒相关的低钾性四肢瘫。
Clin Nephrol. 2008 Apr;69(4):306-9. doi: 10.5414/cnp69306.
7
Hypokalemic paralysis associated with distal renal tubular acidosis.与远端肾小管酸中毒相关的低钾性麻痹。
Intern Med. 1992 May;31(5):662-5. doi: 10.2169/internalmedicine.31.662.
8
Hypokalemic periodic paralysis in Sjogren's syndrome secondary to distal renal tubular acidosis.干燥综合征继发远端肾小管酸中毒所致低钾性周期性瘫痪。
Rheumatol Int. 2013 Jul;33(7):1879-82. doi: 10.1007/s00296-011-2322-z. Epub 2012 Jan 3.
9
Hypokalemic quadriparesis and rhabdomyolysis as a rare presentation of distal renal tubular acidosis.
Med J Islam Repub Iran. 2014 May 19;28:35. eCollection 2014.
10
Pediatric Sjogren syndrome with distal renal tubular acidosis and autoimmune hypothyroidism: an uncommon association.小儿干燥综合征合并远端肾小管酸中毒和自身免疫性甲状腺功能减退：一种罕见的关联。
CEN Case Rep. 2015 Nov;4(2):200-205. doi: 10.1007/s13730-015-0169-y. Epub 2015 Feb 19.
引用本文的文献
1
Hypokalemic Paralysis due to Primary Sjögren Syndrome: Case Report and Review of the Literature.原发性干燥综合征所致低钾性麻痹：病例报告及文献复习
Case Rep Rheumatol. 2017;2017:7509238. doi: 10.1155/2017/7509238. Epub 2017 Aug 1.
2
Renal tubular acidosis due to Sjogren's syndrome presenting as hypokalemic quadriparesis: A report of two cases.干燥综合征所致肾小管酸中毒表现为低钾性四肢瘫：两例报告
Indian J Nephrol. 2015 Nov-Dec;25(6):386-7. doi: 10.4103/0971-4065.158881.
3
An Unusual Initial Presentation of Sjögren's Syndrome: Severe Hypokalemic Paralysis Secondary to Distal Renal Tubular Acidosis.干燥综合征的一种不寻常的初始表现：继发于远端肾小管酸中毒的严重低钾性麻痹。
Eurasian J Med. 2013 Oct;45(3):218-21. doi: 10.5152/eajm.2013.43.
4
Primary presentation with acute flaccid quadriparesis in Sjogren's syndrome sans sicca.干燥综合征无干燥症状时以急性弛缓性四肢瘫为主要表现。
BMJ Case Rep. 2013 Apr 9;2013:bcr2012008172. doi: 10.1136/bcr-2012-008172.
5
Sjogren's syndrome with distal renal tubular acidosis presenting as hypokalaemic paralysis.干燥综合征合并远端肾小管酸中毒，表现为低钾性麻痹。
BMJ Case Rep. 2012 Oct 19;2012:bcr2012007568. doi: 10.1136/bcr-2012-007568.
本文引用的文献
1
Respiratory paralysis in Sjogren syndrome with normal renal function.肾功能正常的干燥综合征患者出现呼吸麻痹。
Natl Med J India. 2003 Sep-Oct;16(5):253-4.
2
Renal tubular acidosis: the clinical entity.肾小管酸中毒：临床实体
J Am Soc Nephrol. 2002 Aug;13(8):2160-70. doi: 10.1097/01.asn.0000023430.92674.e5.
3
Urolithiasis and distal renal tubular acidosis preceding primary Sjögren's syndrome: a retrospective study 5-53 years after the presentation of urolithiasis.原发性干燥综合征之前的尿石症和远端肾小管酸中毒：一项尿石症出现后5至53年的回顾性研究
J Intern Med. 1996 Jun;239(6):483-8. doi: 10.1046/j.1365-2796.1996.487829000.x.
4
Renal tubular acidosis complicated with hypokalemic periodic paralysis.肾小管酸中毒合并低钾性周期性麻痹。
Pediatr Neurol. 1995 Jul;13(1):52-4. doi: 10.1016/0887-8994(95)00080-y.
5
Hypokalemic periodic paralysis in Sjögren's syndrome.干燥综合征中的低钾性周期性麻痹。
Arch Intern Med. 1981 Nov;141(12):1671-3.
6
Interstitial nephritis in Sjögren's syndrome.干燥综合征中的间质性肾炎。
Ann Intern Med. 1968 Dec;69(6):1163-70. doi: 10.7326/0003-4819-69-6-1163.
7
Sjögren's syndrome and renal tubular acidosis.干燥综合征与肾小管酸中毒。
Am J Med. 1970 Apr;48(4):456-63. doi: 10.1016/0002-9343(70)90045-8.
8
Kidney involvement in primary Sjögren's syndrome.原发性干燥综合征的肾脏受累情况。
Scand J Rheumatol Suppl. 1986;61:156-60.
9
[Acute flaccid quadriplegia disclosing Gougerot-Sjögren syndrome with renal tubular acidosis, nephrocalcinosis and osteomalacia].[急性弛缓性四肢瘫揭示伴有肾小管酸中毒、肾钙质沉着症和骨软化症的古热罗-舍格伦综合征]
Rev Rhum Mal Osteoartic. 1989 May;56(6):491-4.
10
Hypokalemic quadriplegia and respiratory arrest revealing primary Sjögren's syndrome.低钾性四肢瘫和呼吸骤停揭示原发性干燥综合征。
Clin Nephrol. 1992 Apr;37(4):189-91.
Zotero 插件