TLDR A woman with lupus had muscle weakness due to kidney issues and was successfully treated with medication.
A 30-year-old woman with systemic lupus erythematosus (SLE) presented with recurrent hypokalemic periodic quadriparesis and symptoms including joint pain, oral ulcers, photosensitivity, and hair loss. She was diagnosed with distal renal tubular acidosis (dRTA) and successfully treated with oral potassium chloride, sodium bicarbonate, hydroxychloroquine, and a short course of steroids. This case highlighted the importance of assessing tubular dysfunction in SLE patients, as renal involvement in SLE is typically glomerulonephritis, making isolated tubular dysfunction a rare but significant finding.
3 citations,
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April 2011 in “Journal of Multidisciplinary Healthcare” SLE patients often face depression and anxiety due to physical changes, with African-American and Hispanic patients having higher unmet psychological needs.
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January 2015 in “Pediatric Rheumatology” Skin symptoms are important for diagnosing and managing juvenile-onset systemic lupus erythematosus and usually get better with treatment.
November 2019 in “Harper's Textbook of Pediatric Dermatology” The document is a detailed medical reference on skin and genetic disorders.