One Case of Systemic Lupus Erythematosus with Chief Complaint of Xerostomia and Abnormal Liver Function.
- Author:
Je Wook YEON
1
;
Song Yee BAEK
;
Ho Woong CHO
;
Youn Jeong SHIN
;
Dong Sik U
;
Eun Jin CHOI
;
Mi Kyeong OH
Author Information
1. Department of Family Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Korea. omk@knh.co.kr
- Publication Type:Case Report
- Keywords:
sytemic lupus erythematosus;
autoimmune hepatitis;
Sjogren's syndrome;
xerostomia
- MeSH:
Adult;
Anxiety;
Autoimmune Diseases;
Biopsy;
Connective Tissue;
Diabetes Mellitus;
Diagnosis;
Female;
Head;
Hepatitis, Autoimmune;
Humans;
Liver*;
Lupus Erythematosus, Systemic*;
Mouth;
Neck;
Obesity;
Radionuclide Imaging;
Salivary Glands;
Sjogren's Syndrome;
Xerostomia*
- From:Journal of the Korean Academy of Family Medicine
2004;25(6):475-480
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dry mouth is a common symptom in over middle- aged women. Xerostomia itself can be caused by multifactorial etiolgy. Dry mouth may occur with the use of medications, as a complication of connective tissue and autoimmune disease, such as Sjogren's syndrome or sicca syndrome, with radiation therapy to the head and neck or diabetes mellitus, or with a number of other condition. Even stress and anxiety can lead to a dry mouth. Also, Abnormal liver function is associated with drugs, viral infection, alcohol, obesity, autoimmne disease and a number of other disease. A 41-year-old women complaining of xerostomia and known abnormal liver fuction since 1 year was admitted to our medical examination center. In this case, Final diagnosis was systemic lupus erythematosus with autoimmune hepatitis and secondary Sjogren's syndrome through characteristic clinical finding, liver biopsy, positive Schirmer's test, salivary gland biopsy, and salivary scintigraphy. The various immunosuppresant medication has taken and then liver function indices and clinical symptoms were improved.
