title: Primary presentation with acute flaccid quadriparesis in Sjogren's syndrome sans sicca.
abstract: We report the case of a 40-year-old housewife, who presented with vomiting since past 5 days and weakness of all four limbs since 1 day. Clinical examination confirmed the presence of flaccid quadriparesis with preserved tendon reflexes. Routine laboratory parameters showed severe hypokalaemia. On further evaluation she was diagnosed to have type 1 renal tubular acidosis secondary to Sjogren's syndrome. Sicca symptoms were conspicuous by their absence.
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India.
authors.forename: Sowjanya
authors.initials: S
authors.lastname: Dasari
authors.forename: Kushal
authors.initials: K
authors.lastname: Naha
authors.forename: G
authors.initials: G
authors.lastname: Vivek
authors.forename: Vasudev
authors.initials: V
authors.lastname: Acharya
authors.forename: Manjunath
authors.initials: M
authors.lastname: Hande
mesh_terms: D000141:Acidosis, Renal Tubular / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D011782:Quadriplegia / Q000188:drug therapy / Q000209:etiology*; D012859:Sjogren's Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy