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。
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本文引用的文献
1
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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
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Rev Rhum Mal Osteoartic. 1989 May;56(6):491-4.
10
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Clin Nephrol. 1992 Apr;37(4):189-91.
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