Langerhans Histiocytosis Renders a Differential and Complementary Diagnosis for a Sjögren Syndrome Female Presenting with a Hypophyseal Mass, Pulmonary Emphysema and Thyroid Nodules
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A 35-year-old female with 18 months of mouth and eye dryness, polyuria, polydipsia, amenorrhoea, several papules on the chest skin and 6 months of galactorrhea was referred to the outpatient department. Her peripheral blood sample indicated prolactin 57.84 ng/ml, follicle stimulating hormone 1.42 IU/L, luteinizing hormone 0.22 IU/L, estradiol 15.00 pg/ml; positive antinuclear antibody testing at 1:320 in a speckled pattern and positive anti-SSA. Physical examination revealed diffuse bilateral thyroid enlargement and triggering ivory lactation of bilateral breasts.
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Authors declare that they have no conflict of interest.
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