Sudden Paralysis and Metabolic Acidosis; Report From Grand Round of Department of Internal Medicine

A 21 years old single female from Shiraz, presented with chief complaint of weakness of upper and lower extremities. 6 months before admission, she developed fever, left sided pleuritic chest pain and dyspnea, which left sided pleural effusion with high titers of ANA was found and prednisone was administrated with diagnosis of SLE. She discontinued her medication 3 days before admission and received high carbohydrate regimen for past 5 days. Her lab data showed metabolic acidosis and hypokalemia. SLE induced distal RTA was diagnosed and She was discharged with potassium citrate, Shoul’s solution and Prednisolone. Renal tubular acidosis is discussed here.