title: [Transient lower limbs paralysis--a rare presenting symptom of Sjögren's syndrome].
abstract: Sjögren's syndrome is commonly presented with eye and mouth dryness caused by an autoimmune destruction of lacrimal and salivary glands. Kidney involvement is not common but may appear in patients with long standing disease. We present a patient with Sjögren's syndrome whose first manifestation of the disease was related to type 1 renal tubular acidosis (RTA) causing severe hypokalemia with lower limb paralysis. The uneven distribution of limb weakness necessitated the exclusion of cord compression.
authors.affiliation: Department of Internal Medicine C, Assaf Harofeh Medical Center, Zerifin, Israel. yoavmaya@mcc.org.il
authors.forename: Yoav
authors.initials: Y
authors.lastname: Michowitz
authors.forename: Elf
authors.initials: E
authors.lastname: Shiloach
authors.forename: Moshe
authors.initials: M
authors.lastname: Horowitz
authors.forename: Maya
authors.initials: M
authors.lastname: Koren-Michowitz
authors.forename: Judith
authors.initials: J
authors.lastname: Sandbank
authors.forename: Micha J
authors.initials: MJ
authors.lastname: Rapoport
mesh_terms: D000138:Acidosis / Q000150:complications; D000368:Aged; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000150:complications; D007866:Leg; D010243:Paralysis / Q000209:etiology*; D012859:Sjogren's Syndrome / Q000175:diagnosis*