A Child with Sjögren’s Syndrome and Annular Erythema

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  • 環状紅斑を伴った小児シェーグレン症候群
  • カンジョウコウ ハン オ トモナッタ ショウニ シェーグレン ショウコウグン

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We report an eight-year-old girl with a one month history of annular erythema on her right cheek. She had also parotid gland swelling and arthralgia and she complained of dry mouth but not of dry eyes. In the laboratory examination, antinuclear antibody (titer: 1,280, speckled pattern), anti Ro/SS-A antibody and anti La/SS-B antibody were positive. Her right parotid gland showed delayed excretion in parotid gland scintigraphy, and the Saxon test was positive. A diagnosis of Sjögren’s syndrome was made from these findings. We summarized 108 child patients with Sjögren’s syndrome in the past 42 years in Japan including our patient. Sjögren’s syndrome in children shows different clinical features from those in adult patients. Child patients with Sjögren’s syndrome complain frequently of parotid gland swelling and arthralgia, but rarely of dry eyes or dry mouth.

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