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Myelopathy in primary Sjögren's syndrome: diagnostic and therapeutic aspects
Author(s) -
Hermisson M.,
Klein R.,
Schmidt F.,
Weller M.,
Küker W.
Publication year - 2002
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1034/j.1600-0404.2002.01167.x
Subject(s) - medicine , prednisone , azathioprine , myelopathy , magnetic resonance imaging , dermatology , pathology , gastroenterology , radiology , spinal cord , disease , psychiatry
We report a patient with a myelopathy in primary Sjögren's syndrome, proven by salviary gland biopsy and specific antibodies. Under steroid medication, the patient had a remitting and relapsing clinical course. The severity of clinical symptoms correlated with a transient contrast uptake in spinal magnetic resonance imaging. Under a treatment with azathioprine and prednisone the patient has suffered no relapse within the last 20 months. Although this is only a case report, the combination of azathioprine and prednisone may be a valuable medication in chronic cases of Sjögren's syndrome with neurologic symptoms.