Cryptogenic organizing pneumonia associated with primary Sjogren's syndrome

被引:17
|
作者
Ioannou, Savvas [1 ]
Toya, Sophie P. [1 ]
Tomos, Periklis [2 ]
Tzelepis, George E. [1 ]
机构
[1] Univ Athens, Sch Med, Dept Pathophysiol, Laiko Univ Hosp, Athens 11527, Greece
[2] Univ Athens, Sch Med, Dept Thorac Surg, Laiko Univ Hosp, Athens 11527, Greece
关键词
Sjogren's syndrome; organizing pneumonia;
D O I
10.1007/s00296-008-0568-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The association of cryptogenic organizing pneumonia (COP) with primary Sjogren's syndrome (PSS) is extremely rare. We report a case of simultaneous diagnosis of PSS and COP. A 70-year-old female presented with fever, non-productive cough and dyspnea of 2 months' duration. She had experienced sicca symptoms for the past 2 years. The chest radiograph revealed a right lower lobe infiltrate, which was unresponsive to antibiotics. Bronchoscopy, bronchoalveolar lavage and an open lung biopsy established the diagnosis of COP, while a lip biopsy was consistent with PSS. The patient improved on steroids. Organizing pneumonia may be one of the early manifestations of PSS. Exclusion of PSS should be part of a thorough evaluation of the patient with COP.
引用
收藏
页码:1053 / 1055
页数:3
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