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

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.

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  • Published: 2018-03-29

    Issue: Vol 5 No 6 (view)

    Section: Articles

    How to cite:
    Rosado, S., Silveira, V., Reis, A., Gordinho, A., & Noronha, C. (2018). Catatonia and Psychosis as Manifestations of Primary Sjögren’s Syndrome. European Journal of Case Reports in Internal Medicine, 5(6). https://doi.org/https://doi.org/10.12890/2018_000855