Multiple cranial nerve palsies as a presenting symptom in primary Sjögren's syndrome.
A 28-year-old woman who presented with multiple cranial nerve palsies was eventually proven, pathologically, to be a case of primary Sjögren's syndrome. The presence of this syndrome was not initially suspected until the onset of its neurological manifestation. The paucity of sicca syndrome can cause a delay and/or over looking in such a diagnosis. Therapeutic response to corticosteroids was rather impressive in this particular case.
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Phanthumchinda
D000328:Adult; D003389:Cranial Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D010243:Paralysis / Q000175:diagnosis / Q000209:etiology*; D012859:Sjogren's Syndrome / Q000150:complications* / Q000175:diagnosis