Skip to main content
Log in

Agranulocytosis in a patient with primary Sjögren's syndrome

  • Case Report
  • Published:
Clinical Rheumatology Aims and scope Submit manuscript

Summary

The authors describe a case of primary Sjögren's syndrome, which was complicated with severe autoimmune agranulocytosis quite sensitive to immunosuppressive therapy. Agranulocytosis is a very rare complication of this autoimmune rheumatic disease as opposed to leucopenia. A remarkable feature of the presented case is the fact that correct diagnosis of primary Sjögren 's syndrome has not been settled for almost 25 years. The disease has manifestated only in the form of arthropathy imitating rheumatoid arthritis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Andonopoulos, A.P., Drosos, A.A., Skopouli, N.F., Acritidis, C.N., Moutsopoulos, M.H. Secondary Sjögren's syndrome in rheumatoid arthritis. J Rheumatol 1987, 14, 6, 1098–1103.

    PubMed  Google Scholar 

  2. Barenthin, I., Johnson, G. Frequency of low values of stimulated saliva flow rate, Dentobuff and Dentocult in routine use. Swed Dent J 1986, 10, 207–212.

    PubMed  Google Scholar 

  3. Collins, R.D., Ball, G.V. Sjögren's syndrome. In: Clinical Rheumatology. Eds: Ball, G.V., Koopman, W.J. WB Saunders Company, Philadelphia, 1986, 157–163.

    Google Scholar 

  4. Creighton, W.D., Lambert, P.H., Miescher, P.A. Detection of antibodies and soluble antigen-antibody complexes by precipitation with polyethylene glycol. J Immunol 1973, 111, 1219–1227.

    PubMed  Google Scholar 

  5. Fox, R.L., Robinson, CH.A., Curd, J.G., Kozin, F., Howell, F.V. Sjögren's syndrome. Proposed criteria for classification. Arthritis Rheum 1986, 29, 5, 577–585.

    PubMed  Google Scholar 

  6. Kořínková, P., Májský, A. Granulocyte specificities detected by cytotoxicity and agglutination. Transfusion 1983, 23, 5, 391–393.

    PubMed  Google Scholar 

  7. Kořínková, P., Májský, A. Antibodies against leucocytes in patients with neutropenia. Čas Lék čes 1983, 122, 51, 1580–1584.

    Google Scholar 

  8. Kořínková, P., Vorličk, J., Májský, A. Some remarks to the study of granulocyte cytotoxins and detection of allospecific antigens. Transfusion 1982, 22, 5, 379–383.

    PubMed  Google Scholar 

  9. Maini, R.N. The relationship of SS to rheumatoid arthritis. In: Sjögren's Syndrome: Clinical and Immunological Aspects. Eds: Tall, N., Motsoupoulos, H.M., Kassan, S.S. Springer Verlag 1987, 165–176.

  10. Mittal, K.K., Mickey, M.R., Singal, D., Terasaki, P.I. Serotyping for homotransplantation. XVIII. Refinement of microdroplet lymphocyte cytotoxicity test. Transplantation 1968, 6, 8, 913–927.

    PubMed  Google Scholar 

  11. Ropes, M.W., Bennett, G.A., Cobb, S., Jacox, R., Jessar, R.A. 1958 revision of diagnostic criteria for rheumatoid arthritis. Bull Rheum Dis 1958, 9, 175–176.

    PubMed  Google Scholar 

  12. Scully, C. Sjögren's syndrome: Clinical and laboratory features, immunopathogenesis and management. Oral Surg 1986, 62, 510–523.

    PubMed  Google Scholar 

  13. Strand, V., Talal, N. Advances in the diagnosis and concept of Sjögren's syndrome (autoimmune exocrinopathy). Bull Rheum Dis 1980, 30, 1046–1052.

    Google Scholar 

  14. Talal, N. Sjögren's syndrome. In: Rheumatology and Immunology. Eds: Cohen, A.S., Bennett, J.C. Grune and Stratton, Orlando 1986, 290–294.

    Google Scholar 

  15. Tarpley, T.M., Anderson, L.G., White, C.L. Minor salivary gland involvement in Sjögren's syndrome. Oral Surg 1974, 37, 64–74.

    PubMed  Google Scholar 

  16. Venables, P. Sjögren's syndrome: differential diagnosis, immunopathology and genetics. Topical Reviews 1988, 10.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Petrašovičová, V., Pavelka, K., Neuwirtová, R. et al. Agranulocytosis in a patient with primary Sjögren's syndrome. Clin Rheumatol 9, 530–534 (1990). https://doi.org/10.1007/BF02030516

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02030516

Key words

Navigation