Abstract

Sjogren's syndrome is a slowly progressing autoimmune disease that is characterized by lymphocytic infiltra-tion of the exocrine glands resulting in impaired secretory function. There are varied causes of quadriparesis ranging from cervical cord myelopathy to neuromuscular junction disorders. Even though hypokalemia is a fre-quent cause of quadriparesis but is usually due to periodic paralysis. Here we present a case in which hypokale-mia secondary to Sjogren’s syndrome presented with quadriparesis, which progressed, to respiratory paralysis. Keywords: Sjogren's syndrome, distal renal tubular acidosis, hypokalemia, peripheral vascular disease

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