title: Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review.
abstract: A 54-year-old woman diagnosed with primary Sjögren's syndrome in 2007 presented with a 1-year history of visual hallucinations requiring admission to a psychiatric unit. The hallucinations resolved while on olanzapine and hydroxychloroquine but recurred when they were stopped. Despite restarting olanzapine, her visual hallucinations persisted. When she started a tapering dose of prednisolone, all the hallucinations resolved. This report adds to the small literature on psychiatric manifestations of Sjögren's syndrome and provides evidence that low-dose corticosteroids may be an effective treatment for this manifestation.
authors.affiliation: The Louise Coote Lupus Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK.
authors.forename: John K F
authors.initials: JK
authors.lastname: Wong
authors.affiliation: Department of Neurology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
authors.forename: Ross
authors.initials: R
authors.lastname: Nortley
authors.affiliation: Department of Neurology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
authors.forename: Thomasin
authors.initials: T
authors.lastname: Andrews
authors.affiliation: The Louise Coote Lupus Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK.
authors.forename: David
authors.initials: D
authors.lastname: D'Cruz
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D018501:Antirheumatic Agents / Q000627:therapeutic use; D001569:Benzodiazepines / Q000627:therapeutic use; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006212:Hallucinations / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D006886:Hydroxychloroquine / Q000627:therapeutic use; D008875:Middle Aged; D000077152:Olanzapine; D011239:Prednisolone / Q000627:therapeutic use; D012859:Sjogren's Syndrome / Q000188:drug therapy / Q000523:psychology*; D016896:Treatment Outcome
chemical_list: D014150:Antipsychotic Agents; D018501:Antirheumatic Agents; D005938:Glucocorticoids; D001569:Benzodiazepines; D006886:Hydroxychloroquine; D011239:Prednisolone; D000077152:Olanzapine