RT Journal Article
SR Electronic
T1 Hypokalaemic quadriparesis with respiratory failure due to latent Sjogren syndrome
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e243057
DO 10.1136/bcr-2021-243057
VO 14
IS 7
A1 Archita Makharia
A1 Manoj Lakhotia
A1 Mudita Gupta
A1 Pradeep Lalwani
YR 2021
UL http://casereports.bmj.com/content/14/7/e243057.abstract
AB Sjogren’s syndrome (SS) is an autoimmune disease with involvement of multiple organs, including both glandular and extraglandular organs. Usually involvement of glandular organs manifests before the extraglandular ones, but when the sequence is reversed, diagnosis may be missed. Hypokalaemic quadriparesis in SS is not uncommon. Respiratory failure in hypokalaemia is not usually seen, but in SS, it has been reported. We report a case of a 55-year-old woman who presented with sudden onset flaccid quadriparesis and respiratory muscle paralysis secondary to severe hypokalaemia. On detailed investigation, she was detected to have distal renal tubular acidosis secondary to clinically inapparent and asymptomatic SS.