Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome
Sjögren’s syndrome (SS) is a systemic autoimmune disease characterized by sicca symptoms. Interstitial pulmonary fibrosis and tracheobronchial sicca are the most common symptoms of pulmonary involvement in primary SjS, and they are rarely accompanied by serositis such as pleuritis or pericarditis. W...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2012/640353 |
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| author | Go Makimoto Michiko Asano Nobukazu Fujimoto Yasuko Fuchimoto Katsuichiro Ono Shinji Ozaki Koji Taguchi Takumi Kishimoto |
| author_facet | Go Makimoto Michiko Asano Nobukazu Fujimoto Yasuko Fuchimoto Katsuichiro Ono Shinji Ozaki Koji Taguchi Takumi Kishimoto |
| author_sort | Go Makimoto |
| collection | DOAJ |
| description | Sjögren’s syndrome (SS) is a systemic autoimmune disease characterized by sicca symptoms. Interstitial pulmonary fibrosis and tracheobronchial sicca are the most common symptoms of pulmonary involvement in primary SjS, and they are rarely accompanied by serositis such as pleuritis or pericarditis. We report a case of SS presenting initially with bilateral pleural effusions. A 63-year old man was admitted to our hospital with a one-month history of cough, dyspnea, and right chest pain. Chest-computed tomography revealed bilateral pleural effusions. Serum anti-SS-A antibody titer was 1 : 256. Ophthalmological examination revealed a positive Schirmer test. Lip biopsy showed atrophy and plasmacytic infiltration of the salivary gland. Corticosteroid treatment was initiated. Pleural effusions were almost completely resolved by day 30. The patient has not experienced any recurrence. |
| format | Article |
| id | doaj-art-0ce3b0f9d9a245329864838aea818761 |
| institution | Kabale University |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-0ce3b0f9d9a245329864838aea8187612025-02-03T01:22:22ZengWileyCase Reports in Rheumatology2090-68892090-68972012-01-01201210.1155/2012/640353640353Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s SyndromeGo Makimoto0Michiko Asano1Nobukazu Fujimoto2Yasuko Fuchimoto3Katsuichiro Ono4Shinji Ozaki5Koji Taguchi6Takumi Kishimoto7Department of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, JapanDepartment of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, JapanDepartment of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, JapanDepartment of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, JapanDepartment of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, JapanDepartment of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, JapanDepartment of Pathology, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, JapanDepartment of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, JapanSjögren’s syndrome (SS) is a systemic autoimmune disease characterized by sicca symptoms. Interstitial pulmonary fibrosis and tracheobronchial sicca are the most common symptoms of pulmonary involvement in primary SjS, and they are rarely accompanied by serositis such as pleuritis or pericarditis. We report a case of SS presenting initially with bilateral pleural effusions. A 63-year old man was admitted to our hospital with a one-month history of cough, dyspnea, and right chest pain. Chest-computed tomography revealed bilateral pleural effusions. Serum anti-SS-A antibody titer was 1 : 256. Ophthalmological examination revealed a positive Schirmer test. Lip biopsy showed atrophy and plasmacytic infiltration of the salivary gland. Corticosteroid treatment was initiated. Pleural effusions were almost completely resolved by day 30. The patient has not experienced any recurrence.http://dx.doi.org/10.1155/2012/640353 |
| spellingShingle | Go Makimoto Michiko Asano Nobukazu Fujimoto Yasuko Fuchimoto Katsuichiro Ono Shinji Ozaki Koji Taguchi Takumi Kishimoto Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome Case Reports in Rheumatology |
| title | Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome |
| title_full | Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome |
| title_fullStr | Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome |
| title_full_unstemmed | Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome |
| title_short | Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome |
| title_sort | bilateral pleural effusions as an initial presentation in primary sjogren s syndrome |
| url | http://dx.doi.org/10.1155/2012/640353 |
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