A Case Report of Recurrent Hypokalemic Quadriparesis in the Setting of Distal Renal Tubular Acidosis Preceding Typical Sicca Symptoms in Primary Sjögren's Syndrome.

Sjögren's syndrome (SS) is an autoimmune disorder with glandular and extra glandular manifestations. The extra glandular manifestations include renal symptoms, primarily tubulointerstitial nephritis (TIN), while the glandular component involves the lymphocytic infiltration of exocrine glands. We describe the case of a 28-year-old woman who experienced two bouts of sub-acute onset recurrent flaccid quadriparesis in four months.