Improvement in lacrimal and salivary secretions after alkali therapy in Sjogren's syndrome with renal tubular acidosis: Case report

Abstract

A patient with Sjogren's syndrome developed renal tubular acidosis which led to systemic acidosis and potassium depletion. Treatment with Shohl's solution and potassium supplements was followed by subjective improvement in tear flow, salivary flow, and by disappearance of bronchitic symptoms. Detailed objective assessments were then made during the next year, twice on treatment and twice without. These confirmed the subjective impression of improvement.