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Brachial plexopathy with Sjögren syndrome.

Sachin M Bhagavan1, Swathi Beladakere Ramaswamy1, Gurpreet S Khakh1

  • 1Department of Neurology University of Missouri Health Care One Hospital Dr. CE507 Columbia 65212 Missouri.

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|May 22, 2019
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Summary

Sjögren's syndrome can initially manifest solely as neurological issues, such as brachial plexopathy. This case highlights the importance of considering Sjögren's in neurological presentations.

Keywords:
Brachial plexopathySjögren syndromeSjögrensbrachial plexus

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Area of Science:

  • Neurology
  • Rheumatology
  • Immunology

Background:

  • Sjögren's syndrome is a systemic autoimmune disease primarily affecting exocrine glands.
  • Neurological involvement in Sjögren's syndrome is common but typically occurs after the onset of classic symptoms.
  • Brachial plexopathy is a rare neurological complication of autoimmune disorders.

Observation:

  • This report details an unusual case of brachial plexopathy.
  • The patient presented with neurological symptoms preceding other characteristic manifestations of Sjögren's syndrome.
  • This presentation underscores the diverse clinical spectrum of Sjögren's syndrome.

Findings:

  • The brachial plexopathy was directly associated with the manifestation of Sjögren's syndrome.
  • This case demonstrates that Sjögren's syndrome can present initially with isolated neurological involvement.
  • Early recognition of neurological signs is crucial for timely diagnosis.

Implications:

  • Clinicians should consider Sjögren's syndrome in the differential diagnosis of brachial plexopathy, even in the absence of sicca symptoms.
  • This case expands the understanding of Sjögren's syndrome's initial presentations.
  • Prompt diagnosis and management of Sjögren's syndrome can prevent further neurological damage and systemic complications.