Atypical case of Sjogren s syndrome with psychiatric and peripheral neurological disorder

Vol. 57 No. 1, 2016

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

Nicoleta Anamaria Pascalau, Felicia Liana Cioara, Elena Rosca, Gabriela Mutiu, Liana Oana Pobirci, Cristian Marius Jinca, Laura Monica Georgescu, Razvan-Marius Vicas

Sjogren s syndrome is a rare disorder of the immune system characterized by the chronic lymphocytic infiltration of the organs with exocrine secretion (lachrymal, salivary glands), but also of other tissues of the body, that can be primary or secondary and can appear alone or in association with other systemic diseases: rheumatic arthritis, systemic erythematous lupus, scleroderma or polymyositis/dermatomyositis. The case that we are presenting is that of a 40-year-old man, who came to the Department of Rheumatology with articular, muscular, ocular, psychological and neurological symptoms. After multiple biological, immunological, histological, neurological, psychiatric, ophthalmological, digestive investigations, it was reached the conclusion that the patient presents a rare autoimmune disease (primary Sjogren s syndrome) involving mainly peripheral neuromuscular and psychological (small frequency) and the patient was given specific immunomodulatory, anti-inflammatory and anti-depressive treatment, to which he responded well. Thus, after 18 months of investigation, severe depressive episodes and difficult collaboration of the patient with the medical team, it was possible to reach the definitive diagnosis and to perform the appropriate treatment.

Corresponding author: Nicoleta Anamaria Pascalau, MD, PhD; e-mail: n.pascalau@yahoo.com

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