{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T01:13:25Z","timestamp":1775870005864,"version":"3.50.1"},"reference-count":11,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,7,29]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Renal tubular acidosis is a well-known consequence of primary Sjogren\u2019s 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.<\/jats:p>","DOI":"10.1136\/bcr-2024-260646","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T21:25:26Z","timestamp":1723670726000},"page":"e260646","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Primary Sjogren\u2019s syndrome presenting as hypokalaemic periodic paralysis and acute pancreatitis"],"prefix":"10.1136","volume":"17","author":[{"given":"Santhosh Shettigere","family":"Chandrappa","sequence":"first","affiliation":[{"name":"General Medicine, All India Institute of Medical Sciences, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratap","family":"Kumar","sequence":"additional","affiliation":[{"name":"General Medicine, All India Institute of Medical Sciences, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3008-7245","authenticated-orcid":false,"given":"Prasan Kumar","family":"Panda","sequence":"additional","affiliation":[{"name":"General Medicine, All India Institute of Medical Sciences, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shalinee","family":"Rao","sequence":"additional","affiliation":[{"name":"Pathology and Lab Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"2025082711251342000_17.8.e260646.1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.12.1275"},{"key":"2025082711251342000_17.8.e260646.2","doi-asserted-by":"crossref","first-page":"2251","DOI":"10.1007\/s00296-018-4118-x","article-title":"Renal involvement in primary sjogren\u2019s syndrome: a 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