RT Journal Article
SR Electronic
T1 Primary Sjogren’s syndrome presenting as hypokalaemic periodic paralysis and acute pancreatitis
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e260646
DO 10.1136/bcr-2024-260646
VO 17
IS 8
A1 Chandrappa, Santhosh Shettigere
A1 Kumar, Pratap
A1 Panda, Prasan Kumar
A1 Rao, Shalinee
YR 2024
UL http://casereports.bmj.com/content/17/8/e260646.abstract
AB Renal tubular acidosis is a well-known consequence of primary Sjogren’s syndrome (pSS), but a rare manifestation similar to acute pancreatitis in pSS. Here, we discuss the case of a woman in her 50s, who presented to a tertiary care hospital with recurrent episodes of sudden-onset weakness in all four limbs, recurrent vomiting and epigastric pain. She had non-anion gap metabolic acidosis with hypokalaemia and was diagnosed with pSS with hypokalaemic periodic paralysis. She was also diagnosed with acute pancreatitis based on elevated amylase and lipase levels and CT findings. The article highlights the diverse spectrum of clinical manifestations of pSS, including renal and pancreatic involvements, which can be rare consequences of the disease.