Hypokalemic periodic paralysis in Sjogren's syndrome secondary to distal renal tubular acidosis
The term "renal tubular acidosis
" (RTA) refers to a group of disorders in which hyperchloremic metabolic acidosis
develop because of inability of the renal tubules to perform net renal acid excretion, despite the absence or out of proportion decrease in the glomerular filtration rate.
Eventually, an imbalanced state develops called metabolic acidosis
, which is commonly associated with chronic kidney disease.
Palabras clave: politraumatizados; acidosis
metabolica; manejo hidrico.
These three patients had metabolic acidosis
Fortunately, this adverse impact on vitamin D metabolism caused by phosphate depletion during metabolic acidosis
can be addressed very simply using potassium bicarbonate supplementation:
Hence we report this case to highlight the fact that patients presenting with hypokalaemic periodic paralysis with metabolic acidosis
can be due to Renal Tubular Acidosis
with primary Sjogren's syndrome.
As the acidosis
was getting corrected, hypokalemia was evident, which was treated with initial intravenous infusion of 120 mmol over initial 12 h, followed by oral supplementation.
sup], Improving the cardiac function and normalizing the circulatory system are crucial to overcome hypothermia and lactic acidosis
in severe heart failure patients.
The interrelated combination of chronic metabolic acidosis
, low exocrine pancreatic function, and intestinal dysbiosis can explain the widespread digestive disorders in the modern world.
Primary disorder: determine whether blood pH indicates acidosis
The concern is for development of lactic acidosis
in patients because the renally excreted metformin may build up as a result of decreased renal function.