关键词: elderly people glucocorticoid therapy maintenance hemodialysis primary sjogren’s syndrome systemic autoimmune disease

来  源:   DOI:10.7759/cureus.36430   PDF(Pubmed)

Abstract:
Sjogren syndrome (SS) is a chronic, systemic autoimmune disease that primarily affects the exocrine glands, causing dry eyes and mouth, but also presents with a variety of other symptoms. SS is a common connective tissue disease but it can be difficult to diagnose due to the non-specific symptoms and lack of diagnostic markers in many cases. This report describes a case of an elderly patient on dialysis with newly diagnosed SS. The patient had been unable to eat a normal diet for a year, but treatment had not been initiated, presumably because of his age and the fact that he was on dialysis. The patient\'s symptoms improved with the administration of glucocorticoids. This is a very educational case for physicians to recognize undiagnosed SS patients presenting with non-specific symptoms.
摘要:
干燥综合征(SS)是一种慢性,主要影响外分泌腺的全身性自身免疫性疾病,导致眼睛和嘴巴干燥,而且还会出现各种其他症状。SS是一种常见的结缔组织疾病,但由于非特异性症状和缺乏诊断标志物,在许多情况下可能难以诊断。本报告描述了一例新诊断为SS的老年患者透析。病人已经一年不能正常饮食,但是治疗尚未开始,大概是因为他的年龄和他正在透析的事实。患者的症状随着糖皮质激素的给药而改善。对于医生来说,这是一个非常有教育意义的案例,可以识别出具有非特异性症状的未诊断的SS患者。
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