RESUMEN
Primary Sjogren's syndrome is an autoimmune exocrinopathy with various extraglandular complications. Central neurological manifestations were described in 20 percent of cases. Cerebellar syndrome is uncommon in Sjogren's syndrome, but can occur after diagnosis, or rarely as an inaugural sign of the disease. We report the case of a 54-year-old man who presented a cerebellar syndrome with xerostomy and xerophthalmos. The diagnosis of primary Sjorgren's syndrome was confirmed on the accessory salivary gland biopsy. The patient received oral and intravenous corticosteroid therapy associated with cyclophosphamide monthly. Outcome was good.
Asunto(s)
Enfermedades Cerebelosas/patología , Síndrome de Sjögren/patología , Corticoesteroides/uso terapéutico , Antiinflamatorios/uso terapéutico , Biopsia , Enfermedades Cerebelosas/diagnóstico , Ciclofosfamida/uso terapéutico , Humanos , Inmunoelectroforesis , Inmunoglobulina G/inmunología , Inmunosupresores/uso terapéutico , L-Lactato Deshidrogenasa/sangre , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Glándulas Salivales/patología , Síndrome de Sjögren/diagnósticoRESUMEN
We report an exceptional case of hemoptysis observed in a 38-year-old woman with an uneventful past history. Bronchial fibroscopy demonstrated the presence of a leech attached to the laryngeal orifice. This condition is common in endemic areas but is underdiagnosed. The association of hemoptysis, voice alterations, and difficult respiration are suggestive signs. Extraction should be achieved rapidly to avoid death due to acute respiratory failure.