title: Atypical case of Sjögren's syndrome with psychiatric and peripheral neurological disorder.
abstract: Sjögren's syndrome is a rare disorder of the immune system characterized by the chronic lymphocytic infiltration of the organs with exocrine secretion (lachrymal, salivary glands), but also of other tissues of the body, that can be primary or secondary and can appear alone or in association with other systemic diseases: rheumatic arthritis, systemic erythematous lupus, scleroderma or polymyositis÷dermatomyositis. The case that we are presenting is that of a 40-year-old man, who came to the Department of Rheumatology with articular, muscular, ocular, psychological and neurological symptoms. After multiple biological, immunological, histological, neurological, psychiatric, ophthalmological, digestive investigations, it was reached the conclusion that the patient presents a rare autoimmune disease (primary Sjögren's syndrome) involving mainly peripheral neuromuscular and psychological (small frequency) and the patient was given specific immunomodulatory, anti-inflammatory and anti-depressive treatment, to which he responded well. Thus, after 18 months of investigation, severe depressive episodes and difficult collaboration of the patient with the medical team, it was possible to reach the definitive diagnosis and to perform the appropriate treatment.
authors.affiliation: Department of Neurosciences and Rehabilitation, Faculty of Medicine and Pharmacy, University of Oradea, Romania; n.pascalau@yahoo.com.
authors.forename: Nicoleta Anamaria
authors.initials: NA
authors.lastname: Paşcalău
authors.forename: Felicia Liana
authors.initials: FL
authors.lastname: Cioară
authors.forename: Elena
authors.initials: E
authors.lastname: Roşca
authors.forename: Gabriela
authors.initials: G
authors.lastname: MuŢiu
authors.forename: Liana Oana
authors.initials: LO
authors.lastname: Pobirci
authors.forename: Cristian Marius
authors.initials: CM
authors.lastname: Jinca
authors.forename: Laura Monica
authors.initials: LM
authors.lastname: Georgescu
authors.forename: Răzvan Marius
authors.initials: RM
authors.lastname: Vicaş
mesh_terms: D000328:Adult; D005355:Fibrosis; D006801:Humans; D008297:Male; D010523:Peripheral Nervous System Diseases / Q000150:complications* / Q000473:pathology; D012859:Sjogren's Syndrome / Q000150:complications* / Q000473:pathology / Q000523:psychology*