Adie syndrome as the initial sign of primary Sjögren syndrome
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C Bachmeyer1, M Zuber, S Dupont
1Service de Médecine Interne, Hôpital Cochin, Creil, France.
American Journal of Ophthalmology
|May 1, 1997
Abstract
Purpose:
To report Adie syndrome as the initial sign of primary Sjögren syndrome.
Methods:
Case report.
Results:
Adie syndrome was associated with necrotizing gingivitis and xerostomia. Antibodies against Ro (SS-A) were present. Prednisone and antimalarial drugs were ineffective in treating Adie syndrome but improved the necrotizing gingivitis.
Conclusion:
Search for Sjögren syndrome is mandated in patients with Adie syndrome. The latter condition is likely related to ganglionitis, a mechanism responsible for peripheral nervous system involvement in primary Sjögren syndrome.