Abstract：
Renal tubular acidosis is a well-known consequence of primary Sjogren\'s syndrome (pSS), but a rare manifestation similar to acute pancreatitis in pSS. Here, we discuss the case of a woman in her 50s, who presented to a tertiary care hospital with recurrent episodes of sudden-onset weakness in all four limbs, recurrent vomiting and epigastric pain. She had non-anion gap metabolic acidosis with hypokalaemia and was diagnosed with pSS with hypokalaemic periodic paralysis. She was also diagnosed with acute pancreatitis based on elevated amylase and lipase levels and CT findings. The article highlights the diverse spectrum of clinical manifestations of pSS, including renal and pancreatic involvements, which can be rare consequences of the disease.
摘要：
肾小管酸中毒是众所周知的原发性干燥综合征（pSS）的结果，但在pSS中类似于急性胰腺炎的罕见表现。这里,我们讨论一个50多岁的女人的案子,他去了一家三级医院，四肢突然无力，反复发作，反复呕吐和上腹痛。她患有无阴离子间隙代谢性酸中毒伴低钾血症，并被诊断为pSS伴低钾血症周期性麻痹。根据淀粉酶和脂肪酶水平升高以及CT检查结果，她还被诊断为急性胰腺炎。这篇文章强调了pSS临床表现的多样性，包括肾脏和胰腺受累，这可能是这种疾病的罕见后果。
