Skip to main content
Top
Published in: Annals of General Psychiatry 1/2010

Open Access 01-12-2010 | Case report

Psychiatric disorder as clinical presentation of primary Sjögren's syndrome: two case reports

Authors: Lorenzo Pelizza, Federica Bonacini, Alberto Ferrari

Published in: Annals of General Psychiatry | Issue 1/2010

Login to get access

Abstract

Psychiatric disorders in primary Sjögren's syndrome constitute a possible clinical reality that each practitioner must be able to recognise and treat. In this article, two case reports of mental disorder as clinical presentation of primary Sjögren's syndrome are presented, suggesting that psychiatric manifestations in primary Sjögren's syndrome can occur not only during its longitudinal course, but also at the onset of the autoimmune syndrome. A better adapted prescription of corticosteroids and/or immunosuppressive agents (together with specific psychotropic treatments) can induce rapid relief of mental symptoms.
Literature
1.
go back to reference Moutsopoulos H, Youinou P: New developments in Sjögren's syndrome. Curr Opin Rheumatol. 1991, 3: 815-822. 10.1097/00002281-199110000-00011.CrossRefPubMed Moutsopoulos H, Youinou P: New developments in Sjögren's syndrome. Curr Opin Rheumatol. 1991, 3: 815-822. 10.1097/00002281-199110000-00011.CrossRefPubMed
2.
go back to reference Franceschini F, Cavazzana I: Anti-Ro/SS-A and anti-La/SS-B antibodies. Autoimmunity. 2005, 38: 55-63. 10.1080/08916930400022954.CrossRefPubMed Franceschini F, Cavazzana I: Anti-Ro/SS-A and anti-La/SS-B antibodies. Autoimmunity. 2005, 38: 55-63. 10.1080/08916930400022954.CrossRefPubMed
3.
go back to reference Vitali C, Bombardieri S, Jonsson R: Classification criteria for Sjögren's syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. Ann Rheum Dis. 2002, 61: 554-558. 10.1136/ard.61.6.554.PubMedCentralCrossRefPubMed Vitali C, Bombardieri S, Jonsson R: Classification criteria for Sjögren's syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. Ann Rheum Dis. 2002, 61: 554-558. 10.1136/ard.61.6.554.PubMedCentralCrossRefPubMed
4.
go back to reference Mauch E, Volk C, Kratzsch G: Neurological and neuropsychiatric dysfunction in primary Sjögren's syndrome. Acta Neurol Scand. 1994, 89: 31-35. 10.1111/j.1600-0404.1994.tb05181.x.CrossRefPubMed Mauch E, Volk C, Kratzsch G: Neurological and neuropsychiatric dysfunction in primary Sjögren's syndrome. Acta Neurol Scand. 1994, 89: 31-35. 10.1111/j.1600-0404.1994.tb05181.x.CrossRefPubMed
5.
go back to reference Cox P, Hales R: CNS Sjögren's syndrome: an underrecognized and underappreciated neuropsychiatric disorder. J Neuropsychiatry Clin Neurosci. 1999, 11: 241-247.CrossRefPubMed Cox P, Hales R: CNS Sjögren's syndrome: an underrecognized and underappreciated neuropsychiatric disorder. J Neuropsychiatry Clin Neurosci. 1999, 11: 241-247.CrossRefPubMed
6.
go back to reference Stevenson H, Jones M, Rostrom J, Longman L, Field E: UK patients with primary Sjögren's syndrome are at risk from clinical depression. Gerodontology. 2004, 21: 141-145. 10.1111/j.1741-2358.2004.00027.x.CrossRefPubMed Stevenson H, Jones M, Rostrom J, Longman L, Field E: UK patients with primary Sjögren's syndrome are at risk from clinical depression. Gerodontology. 2004, 21: 141-145. 10.1111/j.1741-2358.2004.00027.x.CrossRefPubMed
7.
go back to reference Alexander E: Neurological disease in Sjögren's syndrome: mononuclear inflammatory vasculopathy affecting central/peripheral nervous system and muscle. Rheum Dis Clin North Am. 1993, 19: 869-908.PubMed Alexander E: Neurological disease in Sjögren's syndrome: mononuclear inflammatory vasculopathy affecting central/peripheral nervous system and muscle. Rheum Dis Clin North Am. 1993, 19: 869-908.PubMed
8.
go back to reference Ampelas J, Wattiaux M, Van Amerongen A: Psychiatric manifestations of systemic lupus erythematosus and Sjögren's syndrome. Encephale. 2001, 27: 588-599.PubMed Ampelas J, Wattiaux M, Van Amerongen A: Psychiatric manifestations of systemic lupus erythematosus and Sjögren's syndrome. Encephale. 2001, 27: 588-599.PubMed
9.
go back to reference American Psychiatric Association (APA): Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision. 2000, Washington, DC, USA: American Psychiatric Association PressCrossRef American Psychiatric Association (APA): Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision. 2000, Washington, DC, USA: American Psychiatric Association PressCrossRef
10.
go back to reference Esch T: Pathogenetic factors in Sjögren's syndrome: recent developments. Crit Rev Oral Biol Med. 2001, 12: 244-251. 10.1177/10454411010120030301.CrossRefPubMed Esch T: Pathogenetic factors in Sjögren's syndrome: recent developments. Crit Rev Oral Biol Med. 2001, 12: 244-251. 10.1177/10454411010120030301.CrossRefPubMed
Metadata
Title
Psychiatric disorder as clinical presentation of primary Sjögren's syndrome: two case reports
Authors
Lorenzo Pelizza
Federica Bonacini
Alberto Ferrari
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Annals of General Psychiatry / Issue 1/2010
Electronic ISSN: 1744-859X
DOI
https://doi.org/10.1186/1744-859X-9-12

Other articles of this Issue 1/2010

Annals of General Psychiatry 1/2010 Go to the issue