title: Sjogren's syndrome in a celiac patient: searching for environmental triggers.
abstract: In the last few years many studies have shown the potential role of different triggers in the pathogenesis of several autoimmune diseases. In particular, in Sjogren's syndrome the presence of a genetic background is considered determining, but environmental factors have recently been described as triggers or precipitators. In this report, we describe the case of a young woman affected by celiac disease in which an Ascaris lumbricoides infestation and estrogen therapy could have played a role in the development of Sjogren's syndrome.
authors.affiliation: Department of Internal Medicine, Catholic University, Policlinico A. Gemelli, Largo A. Gemelli 8, 00168 Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: D'Onofrio
authors.forename: L
authors.initials: L
authors.lastname: Miele
authors.forename: M
authors.initials: M
authors.lastname: Diaco
authors.forename: L
authors.initials: L
authors.lastname: Santoro
authors.forename: G
authors.initials: G
authors.lastname: De Socio
authors.forename: M
authors.initials: M
authors.lastname: Montalto
authors.forename: A
authors.initials: A
authors.lastname: Grieco
authors.forename: G
authors.initials: G
authors.lastname: Gasbarrini
authors.forename: R
authors.initials: R
authors.lastname: Manna
mesh_terms: D000328:Adult; D000818:Animals; D001196:Ascariasis / Q000150:complications; D017164:Ascaris lumbricoides; D002446:Celiac Disease / Q000150:complications / Q000209:etiology*; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects; D004777:Environment; D005260:Female; D006801:Humans; D012859:Sjogren's Syndrome / Q000150:complications / Q000209:etiology*
chemical_list: D003278:Contraceptives, Oral, Hormonal