ID 101803
Title Transcription
タサイナ リンショウ ショケン ト フクスウ ノ ショウコウグン オ ガッペイシタ キョウミ アル マレナ 1レイ
Title Alternative
A rare case to complicate with various clinical symptoms and multiple syndromes
Author
Mitani, Hiroaki Mitani Clinic
Keywords
Sjogren
CREST
empty sella syndrome
Content Type
Journal Article
Description
A 54-year-old woman consulted our clinic to complain of urticaria and Raynoud’s phenomenon, and she suffered from Sjogren’s syndrome and postoperative hypothyroidism due to thyroid cancer (Antithyroid antibody were negative). This case who had clinical symptoms of obesity, headache, and hypotension was diagnosed CREST syndrome (Anticentromere antibody was strongly positive, but Anti-Scl 70 antibody was negative) to be incorporated empty sella syndrome with hypo-ACTH-nemia, hypo-TSH-nemia and hyper-PRL-nemia respectively, but visual disturbance or hypertension were not accompanied. Further it was probably suspected autoimmune fatigue syndrome and Fibromyalgia to be noticed with general fatigue and polymyalgia, taken together it was thought that hypokalemia and hypomagnesiumnemia was needed to discriminate the complications of renal tubular acidosis with Sjogren’s syndrome.
From these results, a rare case who was indicated primary Sjogren’s syndrome, CREST syndrome, Empty sella syndrome with pituitary dysfunctions and suspected autoimmune fatigue syndrome was reported.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
60
Issue
5-6
Start Page
179
End Page
184
Sort Key
179
Published Date
2004-12-20
Remark
FullText File
language
jpn