Bragoni M, Di Piero V, Priori R, Valesini G, Lenzi G L
V Clinica Neurologica, Universita' di Roma La Sapienza, Italy.
Stroke. 1994 Nov;25(11):2276-9. doi: 10.1161/01.str.25.11.2276.
We describe a young woman who presented with minor stroke as a first clinical symptom of Sjögren's syndrome (SS) in the absence of well-known risk factors for cerebrovascular disease.
The medical history included recurrent miscarriages and sun rashes, which directed the diagnosis toward immunologic disorders such as systemic lupus erythematosus and antiphospholipid antibody syndrome, which are often associated with stroke. Only complete laboratory testing, including SSB antibody studies, and ophthalmologic and salivary gland evaluation revealed the correct diagnosis.
Sjögren's syndrome should be considered among the causes of stroke, especially in a young female patient.
我们描述了一名年轻女性，她以轻微中风作为干燥综合征（SS）的首发临床症状，且不存在已知的脑血管疾病危险因素。
病史包括反复流产和日晒疹，这使得诊断指向免疫性疾病，如通常与中风相关的系统性红斑狼疮和抗磷脂抗体综合征。只有包括SSB抗体研究在内的完整实验室检查，以及眼科和唾液腺评估才揭示了正确的诊断。
中风的病因应考虑干燥综合征，尤其是在年轻女性患者中。
