Clinical analysis of 34 cases of primary Sjogren syndrome (pSS) misdiagnosed as primary hypothyroidism
10.3760/cma.j.issn.1008-6706.2016.07.015
- VernacularTitle:误诊为原发性甲状腺功能减退症的干燥综合征34例临床分析
- Author:
Jing LI
- Publication Type:Journal Article
- Keywords:
Sjogren's syndrome;
Hypothyroidism
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(7):1015-1017,1018
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the causes of misdiagnosis through clinical data analysis of primary Sjogren syndrome ( PSS) patients misdiagnosed as primary hypothyroidism disease.Methods The clinical data of 34 cases with primary Sjogren syndrome ( pSS ) who were misdiagnosed as primary hypothyroidism were retrospectively analyzed.The misdiagnosis reason was analyzed.Results In 34 patients,a total of 14 patients with primary hypothy-roidism could not explain the clinical signs and symptoms, included dry mouth, dry eyes, recurrent parotid gland enlargement,both hands reynolds phenomenon, purpura like rash and joint pain in the lower extremities.A total of 20 patients with primary hypothyroidism could not be explained by an auxiliary examination abnormality, including ESR,IgG,IgM or IgA increased,white blood cells and platelets,low blood potassium,pulmonary CT suggest interstitial lung disease,ANA (+) (>1:40),RF(+)(>1:20).Conclusion pSS misdiagnosis for hypothyroidism is not uncommon.Department of Endocrinology physicians should pay special attention to hypothyroidism can not explain the symptoms and auxiliary examination abnormal, make the necessary differential diagnosis to reduce the misdiagnosis rate.
