Primary Sjogren’s Syndrome Presenting As Pleuritis and Pleural Effusion
Author Information
Author(s): Muacevic Alexander, Adler John R, Varkey Ashwin, Shayani Kevin, Lakticova Viera
Primary Institution: Lenox Hill Hospital, New York, USA
Hypothesis
Sjogren’s syndrome can present with pleuritis and pleural effusion, which is a rare manifestation of the disease.
Conclusion
The case illustrates the importance of considering Sjogren’s syndrome as a potential cause of pleural effusion, especially when pleural fluid analysis shows lymphocytic predominance.
Supporting Evidence
- Sjogren’s syndrome is primarily known for causing dryness in the mouth and eyes, but it can also affect the lungs.
- The patient had a large pleural effusion that required surgical intervention.
- Pleural fluid analysis showed a predominance of lymphocytes, indicating an autoimmune cause.
- Most cases of Sjogren’s-related pleuritis resolve spontaneously or with corticosteroids.
Takeaway
This study shows that Sjogren’s syndrome can cause fluid buildup in the lungs, which is very rare. Doctors need to check for this when patients have unexplained lung issues.
Methodology
The case involved a detailed clinical examination, imaging studies, pleural fluid analysis, and biopsy to diagnose Sjogren’s syndrome as the cause of pleural effusion.
Limitations
The study is based on a single case report, which may not be generalizable to all patients with Sjogren’s syndrome.
Participant Demographics
A female in her mid-20s with a history of antiphospholipid syndrome and obesity.
Digital Object Identifier (DOI)
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