Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review
Identifieur interne : 001135 ( Istex/Corpus ); précédent : 001134; suivant : 001136Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review
Auteurs : John K F. Wong ; Ross Nortley ; Thomasin Andrews ; David D'CruzSource :
- BMJ Case Reports [ 1757-790X ] ; 2014-05-23.
English descriptors
- Teeft :
- Antineuronal, Antineuronal antibodies, Auditory hallucinations, Autoimmune, Autoimmune diseases, Breast cancer, Case report, Complete resolution, Foundation trust, Further permission, Hallucination, Hydroxychloroquine, Interval change, Malignancy, Nerve conduction studies, Neurol, Occult malignancy, Olanzapine, Paraneoplastic, Prednisolone, Primary syndrome, Psychiatric manifestations, Psychiatric unit, Salivary gland biopsy, Schizophrenia, Syndrome, System involvement, Unusual association, Visual hallucinations, Wong.
Abstract
A 54-year-old woman diagnosed with primary Sjögren's syndrome in 2007 presented with a 1-year history of visual hallucinations requiring admission to a psychiatric unit. The hallucinations resolved while on olanzapine and hydroxychloroquine but recurred when they were stopped. Despite restarting olanzapine, her visual hallucinations persisted. When she started a tapering dose of prednisolone, all the hallucinations resolved. This report adds to the small literature on psychiatric manifestations of Sjögren's syndrome and provides evidence that low-dose corticosteroids may be an effective treatment for this manifestation.
Url:
DOI: 10.1136/bcr-2012-008038
Links to Exploration step
ISTEX:743DB533A2B4E0D19FC36B75238A39410B9436DDLe document en format XML
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Wong</name><affiliation><mods:affiliation>The Louise Coote Lupus Unit, Guy's and St Thomas’ NHS Foundation Trust, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Nortley, Ross" sort="Nortley, Ross" uniqKey="Nortley R" first="Ross" last="Nortley">Ross Nortley</name><affiliation><mods:affiliation>Department of Neurology, Guy's and St Thomas’ NHS Foundation Trust, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Andrews, Thomasin" sort="Andrews, Thomasin" uniqKey="Andrews T" first="Thomasin" last="Andrews">Thomasin Andrews</name><affiliation><mods:affiliation>Department of Neurology, Guy's and St Thomas’ NHS Foundation Trust, London, UK</mods:affiliation></affiliation></author><author><name sortKey="D Cruz, David" sort="D Cruz, David" uniqKey="D Cruz D" first="David" last="D'Cruz">David D'Cruz</name><affiliation><mods:affiliation>The Louise Coote Lupus Unit, Guy's and St Thomas’ NHS Foundation Trust, London, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:743DB533A2B4E0D19FC36B75238A39410B9436DD</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1136/bcr-2012-008038</idno><idno type="url">https://api.istex.fr/ark:/67375/NVC-5067G98R-R/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">001135</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001135</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review</title><author><name sortKey="Wong, John K F" sort="Wong, John K F" uniqKey="Wong J" first="John K F" last="Wong">John K F. 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The hallucinations resolved while on olanzapine and hydroxychloroquine but recurred when they were stopped. Despite restarting olanzapine, her visual hallucinations persisted. When she started a tapering dose of prednisolone, all the hallucinations resolved. 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The hallucinations resolved while on olanzapine and hydroxychloroquine but recurred when they were stopped. Despite restarting olanzapine, her visual hallucinations persisted. When she started a tapering dose of prednisolone, all the hallucinations resolved. This report adds to the small literature on psychiatric manifestations of Sjögren's syndrome and provides evidence that low-dose corticosteroids may be an effective treatment for this manifestation.</abstract><qualityIndicators><score>4.927</score><pdfWordCount>1919</pdfWordCount><pdfCharCount>13029</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>3</pdfPageCount><pdfPageSize>595.276 x 793.701 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>84</abstractWordCount><abstractCharCount>627</abstractCharCount><keywordCount>0</keywordCount></qualityIndicators><title>Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review</title><pmid><json:string>24859541</json:string></pmid><genre><json:string>case-report</json:string></genre><host><title>BMJ Case Reports</title><language><json:string>unknown</json:string></language><eissn><json:string>1757-790X</json:string></eissn><publisherId><json:string>bmjcasereports</json:string></publisherId><volume>2014</volume><genre><json:string>journal</json:string></genre><subject><json:item><value>Unusual association of diseases/symptoms</value></json:item><json:item><value>Female</value></json:item><json:item><value>51-70 years</value></json:item><json:item><value>White</value></json:item><json:item><value>Unusual association of diseases/symptoms</value></json:item></subject></host><namedEntities><unitex><date><json:string>2011</json:string><json:string>2006</json:string><json:string>2013</json:string><json:string>2007</json:string><json:string>2014</json:string><json:string>2008</json:string></date><geogName></geogName><orgName><json:string>Department of Neurology, Guy</json:string><json:string>NHS Foundation Trust, London, UK Correspondence</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Dr Michelle</json:string><json:string>Rheumatology</json:string></persName><placeName><json:string>St Thomas</json:string><json:string>UK</json:string><json:string>RAPA</json:string><json:string>Spain</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Spezialetti et al</json:string><json:string>Vitali et al.</json:string><json:string>August 2012</json:string><json:string>August 2011</json:string><json:string>March 2008</json:string><json:string>October 2011</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/NVC-5067G98R-R</json:string></ark><categories><inist><json:string>1 - 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association of diseases/symptoms</subject></subj-group><series-title>CASE REPORT</series-title></article-categories><title-group><article-title>Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Wong</surname><given-names>John K F</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Nortley</surname><given-names>Ross</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Andrews</surname><given-names>Thomasin</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>D'Cruz</surname><given-names>David</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib></contrib-group><aff id="af1"><label>1</label><addr-line>The Louise Coote Lupus Unit</addr-line>, <institution>Guy's and St Thomas’ NHS Foundation Trust</institution>, <addr-line>London</addr-line>, <country>UK</country></aff><aff id="af2"><label>2</label><addr-line>Department of Neurology</addr-line>, <institution>Guy's and St Thomas’ NHS Foundation Trust</institution>, <addr-line>London</addr-line>, <country>UK</country></aff><author-notes><corresp><label>Correspondence to</label> Professor David D'Cruz, david.d'<email>cruz@kcl.ac.uk</email></corresp></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub-original"><day>23</day><month>5</month><year>2014</year></pub-date><volume>2014</volume><volume-id pub-id-type="other">2014</volume-id><volume-id pub-id-type="other">2014</volume-id><elocation-id>bcr2012008038</elocation-id><history><date date-type="accepted"><day>9</day><month>4</month><year>2014</year></date></history><permissions><copyright-statement>2014 BMJ Publishing Group Ltd</copyright-statement><copyright-year>2014</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="casereports-2014-bcr-2012-008038.pdf"></self-uri><abstract><p>A 54-year-old woman diagnosed with primary Sjögren's syndrome in 2007 presented with a 1-year history of visual hallucinations requiring admission to a psychiatric unit. The hallucinations resolved while on olanzapine and hydroxychloroquine but recurred when they were stopped. Despite restarting olanzapine, her visual hallucinations persisted. When she started a tapering dose of prednisolone, all the hallucinations resolved. This report adds to the small literature on psychiatric manifestations of Sjögren's syndrome and provides evidence that low-dose corticosteroids may be an effective treatment for this manifestation.</p></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review</title><partName>CASE REPORT</partName></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review</title><partName>CASE REPORT</partName></titleInfo><name type="personal"><namePart type="given">John K F</namePart><namePart type="family">Wong</namePart><affiliation>The Louise Coote Lupus Unit, Guy's and St Thomas’ NHS Foundation Trust, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ross</namePart><namePart type="family">Nortley</namePart><affiliation>Department of Neurology, Guy's and St Thomas’ NHS Foundation Trust, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Thomasin</namePart><namePart type="family">Andrews</namePart><affiliation>Department of Neurology, Guy's and St Thomas’ NHS Foundation Trust, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David</namePart><namePart type="family">D'Cruz</namePart><affiliation>The Louise Coote Lupus Unit, Guy's and St Thomas’ NHS Foundation Trust, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="case-report" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2014-05-23</dateIssued><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract>A 54-year-old woman diagnosed with primary Sjögren's syndrome in 2007 presented with a 1-year history of visual hallucinations requiring admission to a psychiatric unit. 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