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A case of Renal tubular acidosis as an acute presentation of Sjogren Syndrome with Hyperthyroidism

descriptionPublicationkeyboard_double_arrow_right Article 25 Jul 2022 English Publisher:Zenodo

Authors: Abhishek Vadher; Swati Baraiya; Vatsal Vyas; Smit Patel; Ammara Qureshi;

doi: 10.5281/zenodo.7090021 , 10.5281/zenodo.7090022

A case of Renal tubular acidosis as an acute presentation of Sjogren Syndrome with Hyperthyroidism

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Abstract

ABSTRACT We present a case of 26 year old female with a presentation of hypokalemia and distal renal tubular acidosis and normal anion gap acidosis. All basic blood investigations were normal and Anti Nuclear Antibody screening was done which was grade IV positive. Subsequently ANA profile was done which was positive was Ssa/Ro 60k Ab titer, Ssa/Ro 52kd Ab titer and Ssb Ab titer. Thyroid profile showed TSH 0.33 and T3 and T4 were 3.1 and 4.9 respectively. Urine anion gap was positive and urine pH was 6.8. The patient was diagnosed as Sjogren syndrome with hyperthyroidism and type 1 Renal Tubular Acidosis. This case is unique as the initial presentation of this patient was RTA and the patient had hyperthyroidism. Most patients of Sjogren have hypothyroidism and not hyperthyroidism. Keywords: Sjogren syndrome, hypothyroidism, renal tubular acidosis, ANA screen

Related Organizations

Health Care Foundation
Canada
Government Medical College Bhavnagar
India

Keywords

Sjogren syndrome, hypothyroidism, renal tubular acidosis, ANA screen

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