ArticleClinical medicine insights. Arthritis and musculoskeletal disorders2017
Hypokalemic Paralysis: A Hidden Card of Several Autoimmune Diseases.
Article in Clinical medicine insights. Arthritis and musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Coexistence of Sjögren's Syndrome-associated Interstitial Nephritis and Hypokalemic Nephropathy in a Patient with Distal Renal Tubular Acidosis.Internal medicine (Tokyo, Japan) · 2025Article
- Hypokalemic paralysis following intramuscular betamethasone injection: A case report and review of literature.Clinical case reports · 2024Article
- Systematic review and case report: Systemic lupus erythematosus with renal tubular acidosis.Clinical case reports · 2020Article
- Unusual Presentation of Polyautoimmunity and Renal Tubular Acidosis in an Adolescent With Hashimoto's Thyroiditis and Central Pontine Myelinolysis.Frontiers in endocrinology · 2020Article
- Case Report: Recurrent hypokalemic periodic paralysis associated with distal renal tubular acidosis (type 1) and hypothyroidism secondary to Hashimoto's thyroiditis.F1000Research · 2018Article
- A rare case of cephalexin-induced acute interstitial nephritis with hypokalemic periodic paralysis.Indian journal of pharmacologyArticle
- Sporadic hypothyroidism-related hypokalemic paralysis: Diagnosis in a resource-poor setting.Journal of family medicine and primary careArticle
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Authors and funding
4 authors.
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Abstract
Acute hypokalemic paralysis is a rare and potentially fatal condition, with few related causes, one of which highlights distal renal tubular acidosis (dRTA). Distal renal tubular acidosis is a rare complication of several autoimmune diseases such as systemic lupus erythematosus, Sjögren's syndrome, and Hashimoto thyroiditis. We report a case of a lupic patient who presented rapidly progressive quadriparesis in the context of active renal disease. Research revealed severe refractory hypokalemia, metabolic acidosis, and alkaline urine suggestive of dRTA. We diagnosed Sjögren's syndrome based on sicca symptoms, an abnormal salivary glands' nuclear scan and the presence of anti-Ro/SSA and anti-La/SSB. In addition, the finding of thyroid peroxidase, thyroglobulin antibodies, and hypothyroidism led us to the diagnosis of Hashimoto thyroiditis. Due to the active renal involvement on the context of systemic lupus erythematosus and Sjögren's syndrome, the patient received immunosuppression with rituximab, resulting in a progressive and complete improvement.
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