Sensory Neuropathy With Sjögren's Syndrome, Thymoma, and Hypogammaglobulinemia
作者:
David Lacomis,
Chester Oddis,
Michael Giuliani,
期刊:
Journal of Clinical Neuromuscular Disease
(OVID Available online 1999)
卷期:
Volume 1,
issue 2
页码: 74-78
ISSN:1522-0443
年代: 1999
出版商: OVID
数据来源: OVID
摘要:
We report a 63-year-old woman with common variable immunodeficiency (CVID) and an indolent distal sensory neuropathy. Despite having negative serologic tests for Sjögren's syndrome, evaluation of the neuropathy led to a new diagnosis of Sjögren's syndrome based on the presence of sicca symptoms, an abnormal Schirmer's test, and histologic evidence of sialadenitis. In addition, a thymoma was discovered. We conclude that the occurrence of thymoma, CVID, and Sjogren's syndrome reflect a state of systemic autoimmune dysregulation in this patient. We also reiterate the diagnostic importance of salivary gland biopsy in patients with sicca symptoms and sensory neuropathy.
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