Dasari, Sowjanya and Naha, Kushal and Vivek, G and Acharya, Vasudeva and Hande, Manjunath H (2013) Primary Presentation with Acute Flaccid Quadriparesis in Sjogren’s Syndrome Sans Sicca. BMJ Case Report. pp. 1-3.

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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.

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