sjogrens syndrome
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Date
2018-05-04
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faculty of Basic Medical Science - Libyan International Medical University
Abstract
Sjogren's syndrome is an autoimmune disease. It is a chronic and slowly progressive
disease. The main pathology being, lymphocytic infiltration of the exocrine glands,
resulting in xerostomia and dry eyes. Though dryness of eyes, dryness of mouth and
parotid enlargement are considered as triad of sjogren’s syndrome, rarely it can
present as hypokalemic periodic paresis with renal tubular acidosis. Here, is a case
report of patient having recurrent hypokalemic paresis, metabolic acidosis, type 1
renal tubular acidosis occurring secondary to sjogren’s syndrome
Description
Sjogren–Larsson syndrome nor Marines –Sjogren syndrome. is a long-term
autoimmune disease in which the moisture-producing glands of the body are affected.
This results primarily in the development of a dry mouth and dry eyes. Other
symptoms can include dry skin, vaginal dryness,{1} a chronic cough, numbness in the
arms and legs, feeling tired, muscle and joint pains, and thyroid problems. Those
affected are at an increased risk (5%) of lymphoma. While the exact cause is unclear,
it is believed to involve a combination of genetics and an environmental trigger such
as exposure to a virus or bacteria. It can occur independently of other health problems
(primary Sjogren syndrome) or as a result of another connective tissue disorder
(secondary Sjogren syndrome). The inflammation that results progressively damages
the glands. Diagnosis is by biopsy of moisture-producing glands and blood tests
looking for specific antibodies.[ On biopsy there are typically lymphocytes within the
glands. Between 0.2% and 1.2% of the population are affected,{1} with half having
the primary form and half the secondary form. Females are affected about ten times as
often as males and it commonly begins in middle age; however, anyone can be
affected. Among those without other autoimmune disorders, life expectancy is
unchanged
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