2/13/2023 0 Comments Rta type 1![]() On further evaluating the cause of distal RTA, the patient was diagnosed with Sjogren's syndrome and managed accordingly after assessing the ESSDAI score. We report a case of a 70-year-old female who presented with hypokalaemic periodic paralysis and metabolic acidosis diagnosed as distal RTA. Distal RTA is the most common manifestation of TIN presenting as mild hypokalaemia, metabolic acidosis and rarely with hypokalaemic periodic paralysis. ![]() Renal involvement can be either tubulointerstitial (TIN) or glomerular, the former being more common. Among extraglandular manifestations, renal involvement is commonly seen. Sjogren syndrome (SS) is a multisystemic autoimmune disorder with predominant exocrine gland involvement leading to sicca symptoms.
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