Clinical features of lesions of the nervous system in patients with Sjogren disease
T.G. SAKOVETS
Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012
Sakovets T.G. ― Cand. Med. Sc., Associate Professor of the Department of Neurology and Rehabilitation, tel. +7-909-307-94-77, e-mail: [email protected]
The prevalence of Sjogren’s disease is estimated at about 0.6%, while 40% of all cases is secondary Sjogren disease in patients with systemic lupus erythematosus, systemic scleroderma, or rheumatoid arthritis. Extraglandular manifestations of Sjogren’s disease are detected in one third of patients and are represented by arthritis, Raynaud’s phenomenon, lymphadenopathy, vasculitis, interstitial pneumonia, malignant lymphoma, disorders of the genitourinary and neurologic systems. More rare manifestations include meningitis, myelopathy, progressive multiple sclerosis, pseudo-tumoral lesions. The prevalent types of neuropathy in Sjogren’s disease are sensory and sensory-motor forms. There are various forms of peripheral neuropathy associated with Sjogren disease, including sensory atactic neuropathy, painful sensory neuropathy without sensory ataxia, neuropathy of the trigeminal nerve, multiple mononeuropathy, multiple cranial neuropathy, radiculoneuropathy and autonomic neuropathy with anhydrosis. Given the frequent occurrence of disability in patients with lesions of the nervous system in primary and secondary Sjogren’s disease, the doctors of various specialities should be aware about this disease.
Key words: Sjogren’s disease, neuropathy.
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