Güzel Şükran, Özen Selin
Department of Physical Medicine and Rehabilitation, Başkent University Faculty of Medicine, Antalya, Turkey.
Turk J Phys Med Rehabil. 2022 Mar 1;68(1):154-156. doi: 10.5606/tftrd.2022.6369. eCollection 2022 Mar.
A 51-year-old woman with a diagnosis of primary biliary cirrhosis and Hashimoto thyroiditis followed by concurrent onset of multiple sclerosis and Sjögren syndrome for seven years was admitted. The patient was treated with pulse steroid and cyclophosphamide combined with a physical therapy program. This is a case of four autoimmune diseases coexisting in a single patient, a finding which has not previously been described in the literature. This combination of autoimmune diseases should be kept in mind in patients with the relevant symptoms and signs of each to provide early diagnosis and appropriate treatment.
一名51岁女性因原发性胆汁性肝硬化和桥本甲状腺炎入院，随后并发多发性硬化症和干燥综合征7年。患者接受了脉冲类固醇和环磷酰胺治疗，并结合物理治疗方案。这是一例单一患者同时存在四种自身免疫性疾病的病例，此前文献中尚未有过此类报道。对于有每种疾病相关症状和体征的患者，应牢记这种自身免疫性疾病的组合情况，以便早期诊断并给予适当治疗。
