IMC Journal of Medical Science (IMCJMS)

IMC Journal of Medical Science

Formerly Ibrahim Medical College Journal

IMCJMS
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Issue: Vol.16 No.2 - July 2022
A case of Sjogren’s syndrome presenting with recurrent hypokalemia
Authors: Shapur Ikhtaire,

Affiliations: Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

Nishat Nayla Aurpa,

Affiliations: Upazilla Health Complex, Fulbaria, Mymensingh, Bangladesh

Nuzaira Nahid,

Affiliations: Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

Syeda Kimia Shahdaty,

Affiliations: Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

Tahniyah Haq,

Affiliations: Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

Khaled Mahbub Murshed,

Affiliations: Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

Mohammad Ferdous Ur Rahaman,

Affiliations: Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

Md. Abul Kalam Azad

Affiliations: Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

We report a case of a 26-year old lady who presented with a history of several episodes of limb weakness requiring repeated hospitalization over the last 12 years and about 6 years back, she also developed features of sicca complex. Further investigations revealed hypokalemia, distal renal tubular acidosis and bilateral extensive nephrocalcinosis. Finally, a diagnosis of Sjogren’s syndrome was made. Hypokalemia may be the presenting feature of Sjogren’s syndrome. Sjogren’s syndrome may be suspected in patients with recurrent hypokalemia and renal tubular acidosis.

IMC J Med Sci 2022; 16(2): 004. DOI: https://doi.org/10.55010/imcjms.16.014

*Correspondence: Shapur Ikhtaire, Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000, Bangladesh. Email: shapur17@gmail.com