Hypokalemic Periodic Paralysis due to the Sjögren Syndrome in Chinese Patients

Brief Reports1 March 1989Hypokalemic Periodic Paralysis due to the Sjögren Syndrome in Chinese PatientsKin-Kee Pun, MD, Cheuk-Kit Wong, MD, Elaine Yee-Ling Tsui, MD, Sidney Chi-Fai Tam, MD, Annie Wai-Chee Kung, MD, Christina Chun-Lun Wang, MDKin-Kee Pun, MDSearch for more papers by this author, Cheuk-Kit Wong, MDSearch for more papers by this author, Elaine Yee-Ling Tsui, MDSearch for more papers by this author, Sidney Chi-Fai Tam, MDSearch for more papers by this author, Annie Wai-Chee Kung, MDSearch for more papers by this author, Christina Chun-Lun Wang, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-5-405 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe Sjögren syndrome is complicated by distal renal tubular acidosis in about 40% of the patients (1). Three patients presented with hypokalemic paralysis as a result of renal tubular acidosis that occurred 2 to 7 years before xerostomia or xerophthalmia. Hypokalemic paralysis occurs more frequently in Orientals as a result of thyrotoxicosis (2, 3), hyperaldosteronism (4), barium poisoning (5), and as a side effect of glossypol, a fertility regulating agent used in China (6).CasesA 34-year-old southern Chinese woman was hospitalized because of sudden onset of quadriparesis caused by exertion followed by a heavy meal. On admission, there was...References1. Shearn M and Tu W. Latent renal tubular acidosis in Sjögren's syndrome. Ann Rheum Dis. 1968;27:27-32. CrossrefMedlineGoogle Scholar2. McFadzean A and Yeung R. Periodic paralysis complicating thyrotoxicosis in Chinese. Br Med J. 1967;1:451-5. CrossrefMedlineGoogle Scholar3. Yeung R and Tse T. Thyrotoxic periodic paralysis: effect of propranolol. Am J Med. 1974;57:584-90. CrossrefMedlineGoogle Scholar4. Ma J, Wang C, and Lam K. Fifty cases of primary hyperaldosteronism in Hong Kong Chinese with a high frequency of periodic paralysis: evaluation of techniques for tumor localization. Q J Med. 1986;61:1021-37. MedlineGoogle Scholar5. Allen A. Pa Ping or Kiating paralysis. Chin Med J. 1943;62:296-301. Google Scholar6. Wang C and Yeung R. Gossypol and hypokalemia. Contraception. 1985;32:237-52. CrossrefMedlineGoogle Scholar7. Raskin R, Tesar J, and Lawless O. Hypokalemic periodic paralysis in Sjögren's syndrome. Arch Intern Med. 1981;141;1671-3. CrossrefMedlineGoogle Scholar8. Okdinaka S, Shizrime K, and Watanabe A. The association of periodic paralysis and hyperthyroidism in Japan. J Clin Endocrinol Metab. 1957;17:1454-9. CrossrefMedlineGoogle Scholar9. Beutler E, Kuhl W, and Sacks P. Sodium-potassium-ATPase activity is influenced by ethnic origin and not by obesity. N Engl J Med. 1983;309:756-60. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Kin-Kee Pun, MD; Cheuk-Kit Wong, MD; Elaine Yee-Ling Tsui, MD; Sidney Chi-Fai Tam, MD; Annie Wai-Chee Kung, MD; Christina Chun-Lun Wang, MDFrom the University of Hong Kong, Hong Kong. For current author addresses, see end of text. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEnfermedades renales tubulointersticiales. 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