Fegan David, Glennon Mary Jacqueline
Consultant Physician, Vila Central Hospital Medical Department, Port Vila, Vanuatu.
Trop Doct. 2014 Apr;44(2):122-3. doi: 10.1177/0049475514521805. Epub 2014 Jan 24.
A 13-year-old Pacific Island girl presented complaining of fever, joint pain and dry mouth. She was using limes to relieve her dry mouth. On examination, the most striking clinical finding was severe dental erosion and caries. Autoimmune serology confirmed a diagnosis of systemic lupus erythematosus (SLE) with possible Sjögren's syndrome. The case illustrates the devastating consequence of excessive consumption of acidic citrus juice in sicca syndrome.
一名13岁的太平洋岛国女孩前来就诊，主诉发热、关节疼痛和口干。她一直在用酸橙缓解口干症状。检查时，最显著的临床发现是严重的牙齿侵蚀和龋齿。自身免疫血清学检查确诊为系统性红斑狼疮（SLE），可能合并干燥综合征。该病例说明了干燥综合征中过量饮用酸性柑橘汁的毁灭性后果。
