Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review
Identifieur interne : 001043 ( Main/Exploration ); précédent : 001042; suivant : 001044Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review
Auteurs : John K F. Wong [Royaume-Uni] ; Ross Nortley [Royaume-Uni] ; Thomasin Andrews [Royaume-Uni] ; David D'Cruz [Royaume-Uni]Source :
- 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
Affiliations:
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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.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><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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