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Myelit bulguları ile prezente olan ve sicca semptomları olmayan sjögren vakası

Year 2017, , 89 - 91, 15.07.2017
https://doi.org/10.30565/medalanya.294029

Abstract










Sjögren sendromu (SS) egzokrin bezlerin kronik, inflamatuar ve
otoimmün hastalığıdır. SS' da hastaların %20' sinde nörolojik bulgular gelişir.
Nörolojik bulgular göz ve ağız kuruluğu gibi sicca semptomları ortaya çıkmadan
önce de görülebilir. Periferik sinir sistemi tutulumu (PSS) %15, santral sinir
sistemi (SSS) tutulumu %5 oranında görülür. SSS tutulumu, PSS tutulumuna göre
çok daha az görülür. Bu vakada, transvers myelit ile prezente olan, serum anti
Ro-SSA/anti La-SSB antikorları negatif olan ve sicca bulguları olmayan bir
sjögren sendromu ele alınmıştır.

References

  • 1. Delalande S, de Seze J, Fauchais AL, Hachulla E, Stojkovic T, Ferriby D, Dubucquoi S, Pruvo JP, Vermersch P, Hatron PY. Neurologic manifestations in primary Sjögren syndrome: a study of 82 patients. Medicine (Baltimore). 2004;83(5):280-91.
  • 2. Tobón GJ, Pers JO, Devauchelle-Pensec V, Youinou P. Neurological Disorders in Primary Sjögren's Syndrome.Autoimmune Dis. 2012;2012:645967.
  • 3. Gono T, Kawaguchi Y, Katsumata Y, Takagi K, Tochimoto A, Baba S, Okamoto Y, Ota Y, Yamanaka H. Clinical manifestations of neurological involvement in primary Sjögren’s syndrome. Clin Rheumatol. 2011;30(4):485-90.
  • 4. Fayyaz A, Kurien BT, Scofield RH. Autoantibodies in Sjögren's Syndrome. Rheum Dis Clin North Am. 2016;42(3):419-34.
  • 5. Berkowitz AL, Samuels MA. The neurology of sjögren’s syndrome and the rheumatology of peripheral neuropathy and myelitis . Pract Neurol 2014;14:14-22.
  • 6. Carvajal Alegria G, Guellec D, Mariette X, Gottenberg JE, Dernis E, Dubost JJ, Trouvin AP, Hachulla E, Larroche C, Le Guern V, Cornec D, Devauchelle-Pensec V, Saraux A. Epidemiology of neurological manifestations in Sjögren's syndrome: data from the French ASSESS Cohort. RMD Open. 2016 Apr 20;2(1):e000179. 
  • 7. Birnbaum J. Peripheral nervous system manifestations of Sjögren syndrome: clinical patterns, diagnostic paradigms, etiopathogenesis, and therapeutic strategies.Neurologist. 2010;16(5):287-97.

A Sjögren's syndrome case presenting with myelitis and without sicca symptoms

Year 2017, , 89 - 91, 15.07.2017
https://doi.org/10.30565/medalanya.294029

Abstract










Sjögren’s syndrome (SS) is a chronic inflammatory disorder of exocrine
glands with autoimmune etiology. Neurological symptoms occur in approximately
20% of patients with Sjögren’s syndrome.
 
Neurological symptoms may occur before the onset of sicca symptoms such
as; dry eyes and dry mouth. The prevalence of peripheral and central
neurological manifestations in
  Sjögren
syndrome are about 15% and 5% respectively. CNS involvement is much less common
than peripheral nervous system involvement. In this case, our patient presented
symptoms of transverse myelitis; however, the serum Anti-Ro/SSA and anti-La/SSB
antibodies were negative and there were no dry eyes and dry mouth.

References

  • 1. Delalande S, de Seze J, Fauchais AL, Hachulla E, Stojkovic T, Ferriby D, Dubucquoi S, Pruvo JP, Vermersch P, Hatron PY. Neurologic manifestations in primary Sjögren syndrome: a study of 82 patients. Medicine (Baltimore). 2004;83(5):280-91.
  • 2. Tobón GJ, Pers JO, Devauchelle-Pensec V, Youinou P. Neurological Disorders in Primary Sjögren's Syndrome.Autoimmune Dis. 2012;2012:645967.
  • 3. Gono T, Kawaguchi Y, Katsumata Y, Takagi K, Tochimoto A, Baba S, Okamoto Y, Ota Y, Yamanaka H. Clinical manifestations of neurological involvement in primary Sjögren’s syndrome. Clin Rheumatol. 2011;30(4):485-90.
  • 4. Fayyaz A, Kurien BT, Scofield RH. Autoantibodies in Sjögren's Syndrome. Rheum Dis Clin North Am. 2016;42(3):419-34.
  • 5. Berkowitz AL, Samuels MA. The neurology of sjögren’s syndrome and the rheumatology of peripheral neuropathy and myelitis . Pract Neurol 2014;14:14-22.
  • 6. Carvajal Alegria G, Guellec D, Mariette X, Gottenberg JE, Dernis E, Dubost JJ, Trouvin AP, Hachulla E, Larroche C, Le Guern V, Cornec D, Devauchelle-Pensec V, Saraux A. Epidemiology of neurological manifestations in Sjögren's syndrome: data from the French ASSESS Cohort. RMD Open. 2016 Apr 20;2(1):e000179. 
  • 7. Birnbaum J. Peripheral nervous system manifestations of Sjögren syndrome: clinical patterns, diagnostic paradigms, etiopathogenesis, and therapeutic strategies.Neurologist. 2010;16(5):287-97.
There are 7 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Case Report
Authors

Şeyda Bayil

Hacer Erdem Tilki

Publication Date July 15, 2017
Submission Date February 22, 2017
Acceptance Date April 2, 2017
Published in Issue Year 2017

Cite

Vancouver Bayil Ş, Erdem Tilki H. A Sjögren’s syndrome case presenting with myelitis and without sicca symptoms. Acta Med. Alanya. 2017;1(2):89-91.

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