Type II diabetes mellitus and primary Sjögren's syndrome complicated by pleural effusion.
A 73-year-old man was admitted to our hospital because of pleural effusion and nephrotic syndrome. Sjogren's syndrome (Sjs) was diagnosed based on a positive test for antibodies to Ro and La, and the result of labial salivary gland biopsy. The pleural effusion showed a high number of lymphocytes and high titers of antibodies to Ro and La. By immunohistochemistry, it was determined that infiltrating CD3+ cells predominated over infiltrating CD20+ cells in the pleura. Nephrotic syndrome was also present, which, as confirmed by renal biopsy was due to advanced diabetic nephropathy. Here, we report a case of Type II diabetes mellitus and primary Sjs complicated by pleural effusion, discuss the available treatment for pleural effusion.
Horita
Y
Y
Second Department of Internal Medicine, Nagasaki University School of Medicine.
Miyazaki
M
M
Kadota
J
J
Watanabe
T
T
Yamashita
M
M
Nishiura
K
K
Taguchi
T
T
Matsuo
T
T
Ozono
Y
Y
Kohno
S
S
D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D006801:Humans; D008297:Male; D010996:Pleural Effusion / Q000150:complications*; D012859:Sjogren's Syndrome / Q000150:complications*