Evidence map›Paper›PMID 41262291›Full record

ArticleClinical case reports2025

Sjögren's Syndrome With Distal Renal Tubular Acidosis and Hypokalemic Myopathy in Pregnancy: A Rare Case.

Nabiha Khan, Aasim Ali, Sadia Khan, Uzka Ghayour, Dipesh Kumar Yadav, Armaghana Abdullah

Abstract read
In one paragraph

Article in Clinical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Distal Renal Tubular Acidosis in Pregnancy: A Case Report and Systematic Literature Review.European journal of case reports in internal medicine · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nabiha KhanDepartment of Medicine Punjab Medical College Faisalabad Pakistan.
Aasim AliDepartment of Neurology Allied Hospital Faisalabad Pakistan.
Sadia KhanDepartment of Medicine Nishtar Medical University Multan Pakistan.ORCID https://orcid.org/0009-0003-8276-2059
Uzka GhayourDepartment of Medicine Nishtar Medical College and Hospital Multan Pakistan.
Dipesh Kumar YadavBardibas Hospital Mahottari Nepal.ORCID https://orcid.org/0009-0004-3120-2542
Armaghana AbdullahDepartment of Plastic Surgery Allied Hospital Faisalabad Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sjogren's syndrome may rarely present with distal renal tubular acidosis (dRTA), causing severe hypokalemia and myopathy. A 27-year-old primigravida at 15 weeks gestation presented with progressive proximal weakness and myalgia. Labs showed hypokalemia (1.76 mmol/L), hyperchloremic metabolic acidosis, and elevated creatine phosphokinase; urinary pH was 7.0. Anti-SSA/Ro and anti-SSB/La antibodies and a positive Schirmer's test confirmed primary Sjogren's syndrome. Although 16%-67% of Sjogren's syndrome patients present with renal involvement, hypokalemic myopathy due to dRTA in association with Sjogren's syndrome in pregnancy is a very rare presentation. Electromyography showed myopathic changes. Pregnancy likely worsened the electrolyte imbalance. This case highlights the need to consider autoimmune causes in pregnant patients with unexplained hypokalemia and weakness for timely diagnosis and management.

Indexed as

case reportdistal renal tubular acidosishypokalemic myopathypregnancySjögren's syndrome

Identifiers

PMID41262291
PMCPMC12626744

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.