{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:20:55Z","timestamp":1787772055897,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>\n                    Distal renal tubular acidosis (dRTA), also known as Type 1 renal tubular acidosis, is a rare disorder. It primarily occurs through the inability to secrete H\n                    <jats:sup>+<\/jats:sup>\n                    ions. The causes of dRTA can be divided into primary and secondary. The most common secondary cause of dRTA is Sj\u00f6gren syndrome. dRTA typically presents as hypokalemia with non-anion gap metabolic acidosis. Here, we present a patient where Sj\u00f6gren's syndrome causing dRTA was masked by the presence of hypernatremia causing metabolic acidosis with a high anion gap.\n                  <\/jats:p>","DOI":"10.4103\/1319-2442.397208","type":"journal-article","created":{"date-parts":[[2024,3,9]],"date-time":"2024-03-09T00:55:51Z","timestamp":1709945751000},"page":"455-457","source":"Crossref","is-referenced-by-count":1,"title":["Hypernatremia Masking a Case of Primary Sj\u00f6gren Syndrome-induced Distal Renal Tubular Acidosis"],"prefix":"10.4103","volume":"34","author":[{"given":"Chinmaye","family":"Sapre","sequence":"first","affiliation":[{"name":"Department of Nephrology, Akanksha Hospital, Lambhvel, Anand, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Prajapati","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Akanksha Hospital, Lambhvel, Anand, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Parikh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Akanksha Hospital, Lambhvel, Anand, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,3,11]]},"reference":[{"key":"R2-20240314","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1038\/ncpneph0596","article-title":"Diagnosis of distal renal tubular acidosis: Use of furosemide plus fludrocortisone versus ammonium chloride","volume":"3","author":"Schwartz","year":"2007","journal-title":"Nat Clin Pract Nephrol"},{"key":"R3-20240314","doi-asserted-by":"crossref","first-page":"61","DOI":"10.5005\/jp-journals-10011-1094","article-title":"Sjogren's syndrome: A review","volume":"23","author":"Somani","year":"2011","journal-title":"J Indian Acad Oral Med Radiol"},{"key":"R4-20240314","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1159\/000183478","article-title":"Tubular disorders of acid-base and phosphate metabolism","volume":"40","author":"Chan","year":"1985","journal-title":"Nephron"},{"key":"R5-20240314","first-page":"246","article-title":"Aetiological, clinical and metabolic profile of hypokalaemic periodic paralysis in adults: A single-centre experience","volume":"19","author":"Rao","year":"2006","journal-title":"Natl Med J India"},{"key":"R6-20240314","doi-asserted-by":"crossref","first-page":"e230402","DOI":"10.1136\/bcr-2019-230402","article-title":"Renal tubular acidosis as the initial presentation of Sj\u00f6gren's syndrome","volume":"12","author":"Ho","year":"2019","journal-title":"BMJ Case Rep"},{"key":"R7-20240314","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1136\/ard.61.6.554","article-title":"Classification criteria for Sj\u00f6gren's syndrome: A revised version of the European criteria proposed by the American-European Consensus Group","volume":"61","author":"Vitali","year":"2002","journal-title":"Ann Rheum Dis"}],"container-title":["Saudi Journal of Kidney Diseases and Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/1319-2442.397208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:27:02Z","timestamp":1787768822000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/1319-2442.397208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/1319-2442.397208","relation":{},"ISSN":["1319-2442","2320-3838"],"issn-type":[{"value":"1319-2442","type":"print"},{"value":"2320-3838","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]}}}