Crooks G W, Zweiman B
Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Clin Diagn Lab Immunol. 1996 Jul;3(4):483-4. doi: 10.1128/cdli.3.4.483-484.1996.
A 44-year-old woman presented with a long history of nausea and vomiting and was found to have hypokalemic metabolic acidosis with elevation of the urine bicarbonate level consistent with the new onset of renal tubular acidosis, type I. Her laboratory findings and histologic picture of a buccal biopsy sample of two minor salivary glands were consistent with Sjögren's syndrome. Treatment with steroids markedly improved her symptoms.
一名44岁女性,有长期恶心和呕吐病史,检查发现存在低钾性代谢性酸中毒,尿碳酸氢盐水平升高,符合I型肾小管酸中毒的新发表现。她的实验室检查结果以及两个小唾液腺颊部活检样本的组织学图像与干燥综合征相符。使用类固醇治疗后,她的症状明显改善。