title: [Sjögren's syndrome and acute renal failure after oral surgery].
abstract: Primary Sjögren s syndrome is a multisystemic inflammatory disorder that mainly affects the exocrine glands and usually presents as dryness of the mouth and eyes. The wide clinical spectrum of the disease also includes general symptoms, extraglandular manifestations and lymphoma. It is frequently associated with renal diseases. Interstitial nephritis is the most common renal manifestation, but glomerular involvement and acute renal failure may also (rarely) occur. We describe a case of a female patient with primary Sjögren s syndrome complicated by severe acute renal failure due to cryoglobulinemic glomerulonephritis. Treatment with steroids, cyclophosphamide, plasma exchange and rituximab successfully led to recovery from acute renal failure.
authors.affiliation: Servicio de Nefrología, Hospital Regional Universitario Carlos Haya, Málaga. remedios.toledorojas@gmail.com
authors.forename: R
authors.initials: R
authors.lastname: Toledo Rojas
authors.forename: I
authors.initials: I
authors.lastname: García
authors.forename: A
authors.initials: A
authors.lastname: Torres
authors.forename: M A
authors.initials: MA
authors.lastname: Frutos
authors.forename: G
authors.initials: G
authors.lastname: Martín-Reyes
authors.forename: C
authors.initials: C
authors.lastname: Jironda
authors.forename: F
authors.initials: F
authors.lastname: Franquelo
authors.forename: M
authors.initials: M
authors.lastname: León
authors.forename: D
authors.initials: D
authors.lastname: Hernández
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D003757:Dental Implantation / Q000009:adverse effects; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012859:Sjogren's Syndrome / Q000150:complications*