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[Juvenile Sjögren's syndrome: case report].
Srpski Arhiv Za Celokupno Lekarstvo
|June 11, 2013
Summary
Juvenile Sjögren
Area of Science:
- Pediatric Rheumatology
- Autoimmune Diseases
- Clinical Case Study
Background:
- Sjögren's syndrome (SS) is a rare autoimmune disorder.
- Childhood SS often presents atypically or asymptomatically, leading to delayed diagnosis.
- This case highlights an asymptomatic juvenile form of primary SS (JSS).
Observation:
- A 13-year-old girl presented with elevated ESR without typical symptoms.
- Ophthalmologic exams revealed hypolacrimia, and salivary gland ultrasonography showed abnormalities.
- Immunological tests confirmed elevated rheumatoid factor and specific antibodies (anti-SS-A/Ro, anti-SS-B/La).
Findings:
- Diagnosis of JSS was confirmed via ophthalmologic, immunological, and salivary gland biopsy/ultrasound findings.
- The patient remained asymptomatic of dryness and showed no systemic manifestations over 12 years.
- Elevated ESR was the primary indicator in this asymptomatic case.
Implications:
- Elevated ESR warrants consideration of primary JSS in differential diagnoses.
- Salivary gland ultrasonography is crucial for diagnosing JSS, even without xerostomia symptoms.
- Early JSS diagnosis aids in management and monitoring for potential complications.
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