Yasuda T, Kumazawa K, Sobue G
Department of Neurology, Nagoya Daini Red Cross Hospital.
Nihon Rinsho. 1995 Oct;53(10):2568-73.
One tenth of patients with Sjögren's syndrome (SS) is associated with peripheral neuropathy. Trigeminal neuropathy, mononeuropathy multiplex, sensory neuropathy, distal sensory neuropathy, ataxic sensory-autonomic neuropathy have been described as the neuropathy associated with SS. However, some of them secondary occur associated with the vasculopathy due to rheumatoid arthritis, systemic lupus erythematodes etc combined with SS. We demonstrated the clinico-patho-physiological features and spinal MRI findings of patients with primary SS in whom the sensory ataxia and autonomic dysfunctions were the predominant symptoms. The underlying pathology was lymphocytic (T cells) infiltration to the dorsal root ganglia with sensory neuronal degeneration. These findings have identified as association between SS and sensory ataxic neuropathy.
十分之一的干燥综合征(SS)患者伴有周围神经病变。三叉神经病变、多发性单神经病、感觉神经病、远端感觉神经病、共济失调性感觉自主神经病已被描述为与SS相关的神经病变。然而,其中一些是继发于类风湿关节炎、系统性红斑狼疮等合并SS的血管病变。我们展示了以感觉性共济失调和自主神经功能障碍为主要症状的原发性SS患者的临床病理生理特征和脊髓MRI表现。潜在病理是淋巴细胞(T细胞)浸润背根神经节并伴有感觉神经元变性。这些发现已确定为SS与感觉性共济失调性神经病之间存在关联。