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Ultrasonographic Evaluation of Salivary Glands for Sjogren's Syndrome: Diagnostic and Monitoring Insights
Published on: October 13, 2023
[Tonic pupils in Sjögren's syndrome]
P Vermersch1, S Dufourd-Delalande, S Defoort-Dhellemmes
1Clinique Neurologique, Hôpital Roger Salengro, Lille. pvermersch@chru-lille.fr
Revue Neurologique
|December 21, 2005
Summary
Adie syndrome, a condition of unknown origin, can be linked to Sjögren syndrome. These cases show Adie syndrome may reveal or precede Sjögren syndrome diagnosis.
Area of Science:
- Neurology
- Rheumatology
- Ophthalmology
Background:
- Adie syndrome is typically idiopathic.
- This study investigates two cases of Adie syndrome secondary to Sjögren syndrome.
Observation:
- A young man presented with sensory neuropathy and bilateral tonic pupils.
- An older woman experienced sensory and dysautonomic symptoms, with a prior Adie syndrome diagnosis.
- Both patients were diagnosed with Sjögren syndrome based on systemic signs and tests.
Findings:
- Sjögren syndrome was identified as the underlying cause in both cases of Adie syndrome.
- Corticosteroid treatment showed limited efficacy for sensory symptoms and no effect on tonic pupils.
Implications:
- Adie syndrome, with or without dysautonomic disorders, may serve as an early indicator of Sjögren syndrome.
- This association highlights the importance of considering Sjögren syndrome in patients with Adie syndrome.
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