[Primary Sjögren's syndrome and hypokalaemic paralysis--case report].
We report a case of hypokalaemic quadriparesis in 31-year old woman in whom the discovery of distal renal tubular acidosis led to the diagnosis of primary Sjögren's syndrome. Hypokalaemic paralysis as initial manifestation of primary Sjögren's syndrome is rare, but when it occurs it may precede symptoms of xerostomia and xerophthalmia. The diagnosis of primary Sjögren's syndrome should be considered in young women who present with progressive weakness, hypokalaemia and metabolic acidosis.
Galesić
Kresimir
K
Odjel za nefrologiju, Zavod za klinicku imunologiju i reumatologiju, Klinika za unutarnje bolesti KB "Dubrava" * Av. G. Suska 6 * 10000 Zagreb. kresog@zagreb.kbd.hr
Morović-Vergles
Jadranka
J
Vergles
Domagoj
D
Racić
Ivana
I
Horvatić
Ivica
I
D000141:Acidosis, Renal Tubular / Q000150:complications; D000328:Adult; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000150:complications*; D010243:Paralysis / Q000150:complications*; D012859:Sjogren's Syndrome / Q000150:complications* / Q000175:diagnosis