Senol KOBAK, Mehmet ARGIN, Kenan AKSU, Fahrettin OKSEL

PRİMER SJÖGREN SENDROMU OLAN HASTADA EROZİV ARTRİT: BİR OLGU SUNUMU

Primer Sjögren sendromu, sıklıkla ağız ve göz kuruluğu ile seyreden bir kronik otoimmun ekzokrinopatidir.Ağıziçi bezleri ve göz yaşı bezleri dışında, nadir de olsa diğer ekzokrin bezler de etkilenebilir. En sık kas-iskelet sistemtutuluşu ile karşımıza çıkmaktadır. Artralji, sabah tutukluğu ve romatoid artrite benzer kronik inflamatuvarpoliartrit, eklem bulgularını oluşturmaktadır. Romatoid artrit'ten farklı olarak, Sjögren sendromunda sabahtutukluğu ve hareket kısıtlığı daha hafif olup, el ve el bilek deformasyonları görülmektedir. Romatoid artrit'tenayıran en önemli özellik ise, direk grafi ve/veya magnetik rezonans görüntülerde, eklemlerde erozivdeğişikliklerin olmamasıdır. Bu bildiride, primer Sjögren sendromu tanısı almış hastada, eroziv artrit raporedilmiştir

Anahtar Kelimeler:

Primer Sjögren sendromu, eroziv artrit, magnetik rezonans görüntüleme

Erosive arthritis in a Patient with Primary Sjogren's Syndrome: A Case Report

Primary Sjogren's syndrome (SS) is an autoimmune exocrinopathy characterized by dry eyes and dry mouth. Exocrine glands other than salivary and lacrimal glands may be affected less frequently. The most common mode of presentation is musculoskeletal system involvement. Articular signs and symptoms include arthralgias, morning stiffness, and chronic polyarthritis that resemble those seen in rheumatoid arthritis (RA). Compared with RA, the arthritis tends to be more relapsing and remitting, and stiffness is less marked. The distinction fromRAis that, there is not any erosive changes neither on direct radiography nor magnetic resonance imaging (MRI).We report a patient of primary SS presented with erosive arthritis.

Keywords:

Primary Sjogren's syndrome, erosive arthritis, magnetic resonance imaging,

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