Open AccessPleuritis associated with primary Sjogren syndrome
Author(s) -
Hosoda Chiaki,
Hosaka Yusuke,
Ryu Kai,
Kinoshita Akira,
Saito Keisuke,
Kuwano Kazuyoshi
Publication year - 2018
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.285
Subject(s) - medicine , prednisolone , pleural effusion , bronchoalveolar lavage , biopsy , infiltration (hvac) , pleural fluid , pathology , gastroenterology , lung , physics , thermodynamics
We herein present a case of a 71‐year‐old woman with primary Sjogren's syndrome (SjS), who developed bilateral pleural effusion and ground glass opacity during treatment with low‐dose prednisolone. The pleural effusion and bronchoalveolar lavage fluid revealed elevation of lymphocytes. Thoracoscopic pleural biopsy showed infiltration of lymphocytes with no evidence of other diseases, confirming SjS‐related pleuritis. Therefore, we initiated 20 mg prednisolone and pleural effusion was rapidly resolved. Our results indicate that SjS can be rarely complicated with pleuritis. In addition, thoracoscopic pleural biopsy and a rapid response to steroid treatment would be helpful for diagnosing SjS‐related pleuritis.