Catatonia and Psychosis as Manifestations of Primary Sjögren’s Syndrome

  • Steeve Neves Rosado Internal Medicine Residents, on Final Year – Beatriz Ângelo Hospital, Loures, Portugal
  • Vera Silveira Internal Medicine Residents, on Final Year – Beatriz Ângelo Hospital, Loures, Portugal
  • Ana Isabel Reis Internal Medicine Residents, on Final Year – Beatriz Ângelo Hospital, Loures, Portugal
  • André Gordinho Internal Medicine Residents, on Final Year – Beatriz Ângelo Hospital, Loures, Portugal
  • Carla Noronha Consultant in Internal Medicine – Beatriz Ângelo Hospital, Loures, Portugal
DOI: https://doi.org/10.12890/2018_000855

Keywords

Sjögren’s syndrome, neuropsychiatric manifestations, catatonia, psychosis

Abstract

Primary Sjögren’s syndrome (SS) is a chronic, systemic autoimmune disease, most commonly presenting with sicca symptoms—xerostomia and xerophthalmia. Up to one-half of affected individuals also develop extra-glandular involvement. Early diagnosis is important to prevent further complications. This paper describes an atypical case of SS in a 21-year-old woman who presented first with neuropsychiatric symptoms and fever. She was diagnosed and treated for a presumed psychotic episode. However, because she remained febrile, a thorough investigation resulted in the challenging diagnosis of SS.

VIEW THE ENTIRE ARTICLE

References

  • Lin CE. One patient with Sjögren's syndrome presenting schizophrenia-like symptoms. Neuropsychiatr Dis Treat 2016;12:661–663.

  • Mavragani CP, Moutsopoulos HM. Sjögren syndrome. CMAJ 2014;186:E579–586.

  • Delalande S, De Seze J, Ferriby D, Vermersch P. Neurological manifestations in Sjögren syndrome. Rev Med Interne 2010;31(Suppl 1):S8–15.

  • Cox PD, Hales RE. CNS Sjögren's syndrome: an underrecognized and underappreciated neuropsychiatric disorder. J Neuropsychiatry Clin Neurosci 1999;11>:241–247.

  • Pelizza L, Bonacini F, Ferrari A. Psychiatric disorder as clinical presentation of primary Sjögren's syndrome: two case reports.Ann Gen Psychiatry 2010;9:12.

    • Published: 2018-03-29

    Issue: Vol. 5 No. 6 (view)

    Section: Articles

    How to cite:
    1.
    Rosado SN, Silveira V, Reis AI, Gordinho A, Noronha C. Catatonia and Psychosis as Manifestations of Primary Sjögren’s Syndrome. EJCRIM 2018;5 doi:10.12890/2018_000855.

    Most read articles by the same author(s)