Acute Hypokalemic Paralysis Secondary to Distal Renal Tubular Acidosis Presenting as Guillain Barre Syndrome

A 52 year old female patient presented to emergency casualty with Acute onset quadriparesis respiratory muscle involvement in. During initial work up Serum electrolytes showed severe hypokalemia. Arterial blood gas normal anionic gap metabolic acidosis positive urine anion and examination alkaline PH in the presence of systemic acidosis. All these findings suggest Distal Tubular Acidosis. Further evaluation revealed strongly Anti nuclear antibodies SS-A also being suggesting Sjogren’s Syndrome.