Steuer A, McCrea D J, Colaco C B
Central Middlesex Hospital, London, UK.
Postgrad Med J. 1996 Aug;72(850):499-500. doi: 10.1136/pgmj.72.850.499.
A 24-year-old man with primary Sjögren's syndrome presented with xerophthalmia, xerostomia, and marked parotid swelling. He had a previous history of selective IgA deficiency and ulcerative colitis treated with sulphasalazine. Immunosuppression and withdrawal of sulphasalazine resulted in rapid resolution of the parotitis and disappearance of autoantibodies. A possible role for sulphasalazine in the induction of autoimmunity in this case is discussed.
一名24岁的原发性干燥综合征男性患者,出现了干眼症、口干症和腮腺明显肿大。他既往有选择性IgA缺乏症病史,曾用柳氮磺胺吡啶治疗溃疡性结肠炎。免疫抑制及停用柳氮磺胺吡啶后,腮腺炎迅速消退,自身抗体消失。本文讨论了柳氮磺胺吡啶在该病例自身免疫诱导中可能发挥的作用。