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

Go Makimoto, Michiko Asano, Nobukazu Fujimoto, Yasuko Fuchimoto, Katsuichiro Ono, Shinji Ozaki, Koji Taguchi, Takumi Kishimoto

doi:10.1155/2012/640353

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

DOI PDF XML PubMed 被引用文献2件オープンアクセス

Go Makimoto

Department of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, Japan
Michiko Asano

Department of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, Japan
Nobukazu Fujimoto

Department of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, Japan
Yasuko Fuchimoto

Department of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, Japan
Katsuichiro Ono

Department of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, Japan
Shinji Ozaki

Department of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, Japan
Koji Taguchi

Department of Pathology, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, Japan
Takumi Kishimoto

Department of Respiratory Medicine, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami-ku, Okayama 7028055, Japan

書誌事項

公開日: 2012

権利情報

http://creativecommons.org/licenses/by/3.0/

DOI

10.1155/2012/640353

公開者: Wiley

この論文をさがす

CiNii Books

説明

<jats:p>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.</jats:p>