Sjögren's syndrome presenting as ischemic stroke.
BACKGROUND
We describe a young woman who presented with minor stroke as a first clinical symptom of Sjögren's syndrome (SS) in the absence of well-known risk factors for cerebrovascular disease.


METHODS
The medical history included recurrent miscarriages and sun rashes, which directed the diagnosis toward immunologic disorders such as systemic lupus erythematosus and antiphospholipid antibody syndrome, which are often associated with stroke. Only complete laboratory testing, including SSB antibody studies, and ophthalmologic and salivary gland evaluation revealed the correct diagnosis.


CONCLUSIONS
Sjögren's syndrome should be considered among the causes of stroke, especially in a young female patient.
Bragoni
M
M
V Clinica Neurologica, Universita' di Roma La Sapienza, Italy.
Di Piero
V
V
Priori
R
R
Valesini
G
G
Lenzi
G L
GL
D000328:Adult; D002545:Brain Ischemia / Q000175:diagnosis*; D002561:Cerebrovascular Disorders / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D012859:Sjogren's Syndrome / Q000175:diagnosis*