Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Hypernatremia Masking a Case of Primary Sjögren Syndrome-induced Distal Renal Tubular Acidosis.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Author(s): Sapre C;Sapre C; Prajapati A; Prajapati A; Parikh R; Parikh R
  • Source:
    Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia [Saudi J Kidney Dis Transpl] 2023 Sep 01; Vol. 34 (5), pp. 455-457. Date of Electronic Publication: 2024 Mar 11.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Medknow Country of Publication: Saudi Arabia NLM ID: 9436968 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1319-2442 (Print) Linking ISSN: 13192442 NLM ISO Abbreviation: Saudi J Kidney Dis Transpl Subsets: MEDLINE
    • Publication Information:
      Publication: 2007- : Mumbai : Medknow
      Original Publication: Riyadh : Saudi Center for Organ Transplantation, c1994-
    • Subject Terms:
      Sjogren's Syndrome*/complications ; Sjogren's Syndrome*/diagnosis ; Acidosis, Renal Tubular*/diagnosis ; Acidosis, Renal Tubular*/etiology ; Acidosis, Renal Tubular*/complications ; Hypernatremia*/etiology ; Hypernatremia*/diagnosis; Humans ; Female ; Acid-Base Equilibrium ; Middle Aged
    • Abstract:
      Distal renal tubular acidosis (dRTA), also known as Type 1 renal tubular acidosis, is a rare disorder. It primarily occurs through the inability to secrete H+ ions. The causes of dRTA can be divided into primary and secondary. The most common secondary cause of dRTA is Sjögren syndrome. dRTA typically presents as hypokalemia with non-anion gap metabolic acidosis. Here, we present a patient where Sjögren's syndrome causing dRTA was masked by the presence of hypernatremia causing metabolic acidosis with a high anion gap.
      (Copyright © 2023 Copyright: © 2023 Saudi Journal of Kidney Diseases and Transplantation.)
    • References:
      Walsh S. Oxford Textbook of Clinical Nephrology. 4th ed. Oxford: Oxford University Press; 2016.
      Schwartz GJ. Diagnosis of distal renal tubular acidosis: Use of furosemide plus fludrocortisone versus ammonium chloride. Nat Clin Pract Nephrol 2007;3:590-1.
      Somani R, Sunil M, Khaira J, Kumar D. Sjogren's syndrome: A review. J Indian Acad Oral Med Radiol 2011;23:61-4.
      Chan JC, Alon U. Tubular disorders of acid-base and phosphate metabolism. Nephron 1985;40:257-79.
      Rao N, John M, Thomas N, Rajaratnam S, Seshadri MS. Aetiological, clinical and metabolic profile of hypokalaemic periodic paralysis in adults: A single-centre experience. Natl Med J India 2006;19:246-9.
      Ho K, Dokouhaki P, McIsaac M, Prasad B. Renal tubular acidosis as the initial presentation of Sjögren's syndrome. BMJ Case Rep 2019;12:e230402.
      Vitali C, Bombardieri S, Jonsson R, et al. Classification criteria for Sjögren's syndrome: A revised version of the European criteria proposed by the American-European Consensus Group. Ann Rheum Dis 2002;61:554-8.
    • Publication Date:
      Date Created: 20240712 Date Completed: 20240712 Latest Revision: 20241108
    • Publication Date:
      20250114
    • Accession Number:
      10.4103/1319-2442.397208
    • Accession Number:
      38995305