Issue: 2002 > March > brief reports

Flaccid paresis due to distal renal tubular acidosis preceding systemic lupus erythematosus



BRIEF REPORTS
C.G. TER MEULEN, G.F.F.M. PIETERS, F.T.M. HUYSMANS
AbstractPDF

Abstract

We report a 25-year-old woman presenting with a flaccid paresis due to severe hypokalaemia as a consequence of distal renal tubular acidosis (dRTA). Six years after pre-sentation of dRTA, she developed overt symptoms of sys-temic lupus erythematosus (SLE). dRTA in SLE is often sec-ondary to an interstitial nephritis. In contrast to other reports the dRTA did not resolve after treatment with prednisone in our patient. Nephrocalcinosis might be one of the causal fac-tors in the persistence of dRTA.