Nabil belaaouad dcem3 service medecine interne orientee vers les maladies orphelines pr kaminski chru nancy. Adoue the association of multiple nuclear dots antinuclear antibodies and anti j01 antibodies in a true sjogren syndrome leads us to discuss about. The condition typically develops gradually beginning in middle adulthood, but it can occur at any age. If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a pdf plugin installed and enabled in your browser. Log in to your account log in to my personal account. Sjogren syndrome sjogren syndrome keratoconjunctivitis sicca, dryness of mucous membranes, telangiectasias or purpuric spots on the face, and bilateral parotid enlargement, seen in menopausal women. We retrospectively studied patients with ss fulfilling the americaneuropean classification criteria and sn according to recent criteria. Abstract primary sgogrens syndrome ssp is one of the most common connective tissue disorder with an estimated prevalence between 0. Rafai ma, boulaajaj fz, moutawakil f, et al 2009 neurological manifestations revealing primitive gougerot sjogren syndrome. Tennis star explains leaving tournament due to sjogren s syndrome duration. Simply having one of these genes does not cause a person to develop the disease.
Revue du rhumatisme 74 2007 rituximab in rheumatic diseases. Those affected are also at an increased risk 5% of lymphoma. Combinations of lesions along with relapses and remissions can suggest multiple sclerosis in the proper clinical setting, making the correct diagnosis. Neurological manifestations of primary sjogrens syndrome. We retrospectively studied 82 patients 65 women and 17 men with neurologic manifestations associated with primary ss, as defined by the 2002 americaneuropean criteria. Les manifestations dermatologiques du syndrome hypereosinophilique primitif. We describe a 50yearold woman with recurrent neurologic deficits. Salivary and lacrimal glands are the most affected, thus leading to mouth and eye dryness. Primary sjogrens syndrome associated neuropathy canadian. It is characterized by dysfunction and destruction of the exocrine glands associated with lymphocytic infiltrates and immunological hyperreactivity. The following 16 files are in this category, out of 16 total. Very many true or supposedly autoimmune diseases have been reported in association with the gougerotsjogren syndrome. Bakchine s, duyckaerts c, hassine l, chaunu mp, turell e, wechsler b, chain f.
Extrapyramidal signs are known to be very rare and unusually discovered on early onset in this pathology. Neurologic manifestations in primary sjogren syndrome. A 46yearold woman with a history of progressive parkinsonism for 6 years and a normal brain magnetic resonance imaging was partially improved with levodopa therapy. It is characterized by dysfunction and destruction of the exocrine glands associated with lymphocytic infiltrates and immunological. Combinations of lesions along with relapses and remissions can suggest. Chez 23 environ des patients, dautres organes ou systemes peuvent etre. Out of 35 cases of mediastinal widening, superior vena caval syndrome was present in 10 cases 28. Primary sjogrens syndrome pss is a chronic autoimmune disease with an unknown etiology. Jun 04, 20 association francaise du gougerot sjogren october 29 at 1. Le sgs peut etre primitif psgs ou secondaire a dautres maladies autoimmunes. Besides the classical symptoms including typically xerostomia and xerophthalmia, central nervous system involvement has been reported in 20% of cases alexander et al.
Background peripheral neuropathy is a common complication of primary sjogren syndrome, but central nervous system involvement also occurs and may be the only extraglandular manifestation. Usually, no distinction has been made between sicca. Sjogren sensory neuronopathy sjogren ganglionopathy. Association francaise du gougerot sjogren facebook. Reduced apoptosis was also implicated in the accumulation of autoreactive bcells found in the glands. A diagnosis of pss was made on the basis of clinical features, positive antiro and antila antibodies, abnormal schirmer test findings, and salivary gland. Primary sjogren s syndrome ss is a chronic autoimmune disease characterized by a disorder of the exocrine glands secondary to progressive lymphocyte infiltration. Gougerotsjogren syndrome, connective tissue diseases and. Cd200 is associated with many autoimmune diseases, but little is known about its role in pss. Gougerotsjogren disease definition of gougerotsjogren.
Sensory neuronopathy sn is less frequently seen although leading to more severe handicap. Neurological manifestations are rarely seen in ss although they are debilitating. It is difficult to determine the exact prevalence because the characteristic features of this disorder, dry eyes and dry mouth, can also be caused by many other conditions. The full text of this article is available in pdf format. May 08, 2016 when i first suspected sjogrens syndrome, my vitamin d level was borderline low, despite my regular exposure to sunlight. However, as compared with detailed classifications reporting damage to the peripheral nervous system, the knowledge regarding cns involvement in the case of pss. Alternatively, you can download the file locally and open with any standalone pdf reader. Sgs ou sjogrens syndrome mai des glandes exocrines exocrinopathie ai lacrymales et salivaires surtout mai systemique aussi.
This case illustrates the unusual observation of pachymeningitis in primary sjogren s syndrome in the rare setting as an inaugural manifestation. Bronchial hyperresponsiveness to methacholine in patients. Bouajina rhumatologie, hopital farhathached, sousse, tunisie. Lamerican college of rheumatology acr a propose en 2012 une. Neurological manifestations of primary sjogrens syndrome in the central nervous system in the last decade cns involvement has been observed more commonly than initially suspected. The aim of the study was to analyze the clinical presentation and treatment efficacy in a series of ssrelated sn. Osteomalacie et osteonecrose aseptique des tetes femorales. Sjogren syndrome genetic and rare diseases information. Several different genes appear to affect the risk of developing the condition, but specific genes have not been confirmed. Lietman,1 astrid rasmussen,3 hal scofield,4 claudio vitali,5 simon j. Some sort of trigger is also needed, such as a viral or bacterial. Sjogrens syndrome ss is a chronic autoimmune disorder. Primary sjogrens syndrome a consensus and datadriven methodology involving three international patient cohorts caroline h.
Siccasymptome undoder schwellung betroffener drusen sind leitsymptome des sjs. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Findings from magnetic resonance imaging and angiography were normal, but a brain biopsy disclosed perivascular lymphocytic inflammation in leptomeningeal and parenchymal vessels. Other symptoms can include dry skin, vaginal dryness, a chronic cough, numbness in the arms and legs, feeling tired, muscle and joint pains, and thyroid problems. This is an open access article distributed under the terms of the creative commons. Sjogren syndrome likely results from a combination of genetic and environmental factors it appears to be multifactorial. Treatment of myelopathy in sjogren syndrome with a. The spectrum of benign to malignant lymphoproliferation in sjogrens syndrome. Pdf les manifestations extraglandulaires au cours du. Peripheral neuropathies namely sensory axonal neuropathy and painful small fiber neuropathy are the most frequent neurological manifestations.
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