Catatonia and Psychosis as Manifestations of Primary Sjögren’s Syndrome
KeywordsSjögren’s syndrome, neuropsychiatric manifestations, catatonia, psychosis
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.
Issue: Vol. 5 No. 6 (view)