Case Reports in Rheumatology / 2017 / Article / Tab 1

Case Report

Hypokalemic Paralysis due to Primary Sjögren Syndrome: Case Report and Review of the Literature

Table 1

Laboratory investigation.

Laboratory investigationResult

CBCHemoglobin: 14.7 g/dL, WBC: 8.7 × 103, lymphocytes: 0.683 × 103, platelets: 159 K/μL
Serum electrolytesSodium: 138.2 mmol/L, potassium: 2.7 mmol/L, chloride: 101 mmol/L
Serum chemistryGlucose: 123 mg/dL, creatinine: 0.8 mg/dL, urea nitrogen: 13 mg/dL
Liver panelAST: 19 IU/L, ALT: 13 IU/L, albumin: 4.2 g/dL, total bilirubin: 0.7 mg/dL
UrinalysispH: 8, leucocytes: 0–2/HPF, erythrocytes: 0/HPF, tubular cells: 0/HPF
Urinary electrolytesSodium: 114 mmol/L, potassium: 32 mmol/L, chloride: 57.3 mmol/L, creatinine: 31.8 mg/dL
Urinary anion gap76 mmol/L
Blood gaspH: 7.12, HCO3: 11 mmol/L, pO2: 31 mmHg, pCO2: 37 mmHg, saturation: 37%
Serum anion gap10 mEq/L
Thyroid panelTSH: 2.06 μIU/mL, free T4: 0.94 ng/dL
Acute phase reactantsESR: 31 mm/h, CRP < 0.5 mg/L
Virus panelHIV-negative, HBV-negative, HCV-negative
Rheumatoid factorIgM: 155.7 IU/mL, IgG: 6.7 IU/mL, IgA: 12.2 IU/mL
ANAs by IFA1 : 5120 fine speckled
SSA/SSB by ELISA200.14/19.67 IU/mL
Unstimulated whole saliva flow, without anesthesia1.4 mL/15 minutes
Minor salivary gland Positive, focus score of 5
Schirmer’s testRight eye: 7 mm, left eye: 10 mm

to [5].