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FSGS tip lesion in polyautoimmunity including Sjögren's syndrome
E A Lucassen1, T Vlasveld, N Hommes
1Department of Internal Medicine, Haaglanden Medical Centre, the Netherlands.
Abstract:
We present a case with five auto-immune phenomena, including Sjögren's syndrome, for which we also diagnosed a tip lesion of focal segmental glomerulosclerosis (FSGS).v About one-third of Sjögren's syndrome patients have renal involvement, but FSGS is rarely reported. FSGS is thought to involve T-cell dysfunction and in this patient with multiple auto-immune phenomena, it may reflect a severe dysregulation of cellular immunity.
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