Vidal E, Delaire L, Berdah J F, Ranger S, Collineau M, Jauberteau-Marchan M O, Gaches F, Mitrea L, Liozon F
Service de Médecine Interne A, CHU, Limoges.
Ann Med Interne (Paris). 1994;145(3):168-74.
Forty-eight patients with primary Sjögren syndrome are documented together with the results of their baseline investigations. The majority of patients were female (44 out of 48) and mean age was 63.2 years. Common clinical features included 20 parenchymal lung disease, among which 4 had interstitial pulmonary fibrosis and 2 lymphocytic interstitial pneumonitis, 12 neurologic manifestations, 16 Raynaud's phenomenon, 12 arthritis, and 3 gastrointestinal involvement. Haematological features occurred in 15 patients and another autoimmune disease was encountered in 13 cases. These extraglandular manifestations were the dominating reasons for hospital referral in 43.5% of cases, the sicca syndrome were most often only mentioned by the patients after special questioning which explain considerable delay before the diagnosis.
记录了48例原发性干燥综合征患者及其基线检查结果。大多数患者为女性(48例中有44例),平均年龄为63.2岁。常见临床特征包括20例实质性肺病,其中4例有间质性肺纤维化,2例有淋巴细胞性间质性肺炎,12例有神经系统表现,16例有雷诺现象,12例有关节炎,3例有胃肠道受累。15例患者出现血液学特征,13例患者合并另一种自身免疫性疾病。在43.5%的病例中,这些腺体外表现是患者住院转诊的主要原因,干燥综合征往往是在经过特殊询问后患者才提及,这解释了诊断前存在相当长延迟的原因。