Recurrent aseptic meningitis as an initial clinical presentation of primary Sjögren's syndrome
- Author:
Dong Hyun LEE
1
;
Se Jin LEE
Author Information
- Publication Type:Case Report
- Keywords: Sjogren's syndrome; Meningitis, aseptic; Autoimmune diseases
- MeSH: Autoimmune Diseases; Diagnosis; Diagnosis, Differential; Female; Humans; Meningitis, Aseptic; Middle Aged; Neurologic Manifestations; Radionuclide Imaging; Sjogren's Syndrome
- From: Journal of Neurocritical Care 2019;12(1):46-50
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: The neurological manifestations of Sjögren's syndrome (SjS) are nonspecific and may precede the onset of sicca symptoms. Hence, the diagnosis of SjS is often delayed. Recurrent aseptic meningitis is an uncommon neurological manifestation of primary SjS; only few cases have been reported in the medical literature. CASE REPORT: A 54-year-old woman was admitted for recurrent aseptic meningitis. The patient had a history of two episodes of aseptic meningitis, which had occurred 12 and 7 years before this presentation. The patient had overt sicca symptoms for 5 years. SjS was diagnosed based on the results of serum autoantibody tests, Schirmer's test, and salivary scintigraphy. We concluded that recurrent aseptic meningitis occurred as an initial presentation of primary SjS. CONCLUSION: This case suggest that SjS should be included in the differential diagnosis of recurrent aseptic meningitis.
