误诊为顽固性低钾血症的干燥综合征一例

A Case of Sjogren’s Syndrome Misdiagnosed as Intractable Hypokalemia

目的:探讨以双下肢疼痛伴无力为首发症状的干燥综合征患者的临床表现,诊疗经过及预后情况。方法:回顾性分析就诊于济宁市人民医院的以双下肢疼痛为首发症状的患者的临床资料。结果:干燥综合征发病机制极为复杂,临床表现多样化,极易漏诊、误诊。以双下肢疼痛为首发症状的干燥综合征合并肾损害极其罕见,临床医师应提高警惕。

Objective: To explore the clinical manifestations, diagnosis and treatment and prognosis of Sjogren’s syndrome with pain and weakness of both lower limbs as the first symptom. Methods: The clinical data of patients with pain of both lower limbs as the first symptom in Jining People’s Hospital were retrospectively analyzed. Results: The pathogenesis of Sjogren’s syndrome is ex-tremely complex, and its clinical manifestations are diverse, so it is easy to be missed and misdi-agnosed. Sjogren’s syndrome with renal damage as the first symptom of lower limbs pain is ex-tremely rare, so clinicians should be vigilant.