Polymyalgia rheumatica in a patient with acute tubulointerstitial nephritis due to Sjögren's syndrome.
A 68-year-old Japanese woman with polymyalgia rheumatica associated with acute tubulointerstitial nephritis and subclinical Sjögren's syndrome is described. Gallium scintigraphy showed marked accumulation in both kidneys and the salivary glands. Renal biopsy revealed lymphocytic infiltration in the tubulointerstitium. She was treated with intravenous high-dose methylprednisolone followed by oral prednisolone. Her clinical symptoms improved. This is the first report of this particular association.
Department of Neurology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
S
S
Hisahara
N
N
Ohkoshi
S
S
Shoji
K
K
Muro
N
N
Yamaguchi
M
M
Kobayashi
A
A
Koyama
D000368:Aged; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use; D009395:Nephritis, Interstitial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D011111:Polymyalgia Rheumatica / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use; D011877:Radionuclide Imaging; D012859:Sjogren's Syndrome / Q000150:complications*
D005938:Glucocorticoids; D011239:Prednisolone; D008775:Methylprednisolone