Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome

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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Main Authors: Go Makimoto, Michiko Asano, Nobukazu Fujimoto, Yasuko Fuchimoto, Katsuichiro Ono, Shinji Ozaki, Koji Taguchi, Takumi Kishimoto
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2012/640353
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spelling doaj-0ce3b0f9d9a245329864838aea8187612020-11-24T22:31:32ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Go Makimoto
Michiko Asano
Nobukazu Fujimoto
Yasuko Fuchimoto
Katsuichiro Ono
Shinji Ozaki
Koji Taguchi
Takumi Kishimoto
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
author_facet Go Makimoto
Michiko Asano
Nobukazu Fujimoto
Yasuko Fuchimoto
Katsuichiro Ono
Shinji Ozaki
Koji Taguchi
Takumi Kishimoto
author_sort Go Makimoto
title 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_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_sort bilateral pleural effusions as an initial presentation in primary sjögren’s syndrome
publisher Hindawi Limited
series Case Reports in Rheumatology
issn 2090-6889
2090-6897
publishDate 2012-01-01
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.
url http://dx.doi.org/10.1155/2012/640353
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