title: [Primary Sjögren's syndrome and hypokalaemic paralysis--case report].
abstract: 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.
authors.affiliation: 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
authors.forename: Kresimir
authors.initials: K
authors.lastname: Galesić
authors.forename: Jadranka
authors.initials: J
authors.lastname: Morović-Vergles
authors.forename: Domagoj
authors.initials: D
authors.lastname: Vergles
authors.forename: Ivana
authors.initials: I
authors.lastname: Racić
authors.forename: Ivica
authors.initials: I
authors.lastname: Horvatić
mesh_terms: 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