|
|
Clinical characteristics of 13 patients with Sj?觟gren syndrome complicated with pancreatitis |
LI Hongsong1 ZHU Guangzhao2 LYU Liu3 WANG Hailong3 |
1.Department of Surgery, Tongzhou Hospital of Traditional Chinese Medicine, Beijing 101121, China;
2.Department of Rheumatology, Qinghai Hospital of Traditional Chinese Medicine, Qinghai Province, Xi’ning 810000, China;
3.Department of Rheumatology, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100700, China |
|
|
Abstract Objective To summarize and analyze the clinical characteristics of patients with Sj?觟gren syndrome (SS) complicated with pancreatitis in China based on literatures. Methods The literatures on SS complicated with pancreatitis in CNKI, Wanfang Data, VIP and CBM were searched manually and by computer. The time limit for retrieval was from the inception to August 2020. The search terms were “Sj?觟gren syndrome” AND “pancreatitis”. The literatures that met the inclusion and exclusion criteria were selected, the information was extracted, and the clinical characteristics were analyzed. Results Eight literatures were included, and a total of 13 cases were reported, all of which were female. Its main clinical characteristics of a dry mouth / eye (13 cases), tooth loss/caries (four cases), renal tubular acidosis (four cases), joint pain (three cases), swollen glands (three cases), skin rash (two cases), Raynaud phenomenon (two cases), oral ulcer (one case), dry nasal cavity (one case) and vaginal discharge reduction (one case). The main clinical characteristics of pancreatitis in Sj?觟gren syndrome were abdominal pain (11 cases), nausea / vomiting (seven cases), abdominal distension (five cases), fever (two cases) and no obvious clinical symptoms (one case). Nine patients were treated with glucocorticoid combined with/without immunosuppressant therapy, of which one case died of septic shock and eight cases improved. Conclusion As the clinical characteristics of SS complicated with pancreatitis are varied, the diagnosis and treatment of SS complicated with pancreatitis are highly dependent on the personal experience of physicians, and there is no unified standard, nor recognized effective diagnosis and treatment measures.
|
|
|
|
|
[1] 王鑫,刘苏.干燥综合征相关型干眼症的临床诊疗进展[J].中华眼科医学杂志:电子版,2018,8(2):82-86.
[2] Leone MC,Alunno A,Cafaro G,et al. The clinical spectrum of primary Sj?觟gren’s syndrome:beyond exocrine glands [J]. Reumatismo,2017,69(3):93-100.
[3] Hayakawa T,Naruse S,Kitagawa M,et al. Clinical aspects of autoimmune pancreatitis in Sjogren’s syndrome [J]. JOP,2001,2(3):88-92.
[4] Fox RI,Robinson CA,Curd JG,et al. Sj?觟gren’s syndrome. Proposed criteria for classification[J]. Arthritis Rheum,1986,29(5):577-585.
[5] Shiboski CH,Shiboski SC,Seror R,et al. 2016 American College of Rheumatology/European League Against Rhe-umatism classification criteria for primary Sj?觟gren’s syndrome:A consensus and data-driven methodology involving three international patient cohorts [J]. Ann Rheum Dis,2017,76(1):9-16.
[6] 陈孝平,汪建平,赵继宗.外科学[M].北京:人民卫生出版社,2018.
[7] 杜志荣,罗璇,李霞,等.原发性干燥综合征并发胰腺受累患者的临床特征[J].中华临床免疫和变态反应杂志,2018,12(2):164-168.
[8] 郭琼,贾园,栗占国.原发性干燥综合征并发自身免疫相关性胰腺炎一例并文献复习[J].中国医学创新,2011,8(23):162-163.
[9] 金善,曹霞,乔红波,等.干燥综合征合并自身免疫性胰腺炎垂体炎一例[J].中华风湿病学杂志,2010,14(10):724-725.
[10] 黄燕苹,徐铭宝,唐红卫,等.原发性干燥综合征合并慢性复发性胰腺炎一例[J].中华消化杂志,1999(6):10.
[11] 王晓霞,李小峰,王来远,等.原发干燥综合征合并急性胰腺炎一例[J].山西医药杂志,1999(2):86.
[12] 唐福林,汪国生,李明佳.原发性干燥综合征合并甲状腺功能低减、肾小管酸中毒及慢性胰腺炎一例[J].中华内科杂志,1998(2):61.
[13] 王欣荣,徐胜前,龚勋,等.干燥综合征合并慢性胰腺炎继发Wernicke脑病一例[J].临床内科杂志,2017,34(7):492-493.
[14] 曲建平,陈桂梅,仰曙芬.儿童干燥综合征并胰腺炎1例报告[J].中外健康文摘,2014(21):256-257.
[15] 张文,厉小梅,徐东,等.原发性干燥综合征诊疗规范[J].中华内科杂志,2020,59(4):269-276.
[16] 吕柳.原发性干燥综合征合并神经系统病变1例[J].医师在线,2020,10(13):27.
[17] 刘魏,卢红娟,孔乐乐,等.中性粒细胞与淋巴细胞比值预测急性胰腺炎严重程度的临床价值[J].中国医药导报,2019,16(13):159-162.
[18] 王强,李梦涛,钱家鸣,等.自身免疫病相关性胰腺炎的临床特点分析[J]. 中华内科杂志,2008(12):999-1002.
[19] 邹宏超,赵万润,朱薇,等. 原发性干燥综合征126例临床特点分析[J].中国医药导报,2016,13(32):177-180.
[20] Rueda JC,Duarte-Rey C,Casas N. Successful treatment of relapsing autoimmune pancreatitis in primary Sj?觟gren’s syndrome with rituximab:report of a case and review of the literature [J]. Rheumatol Int,2009,29(12):1481-1485.
[21] Pickartz T,Pickartz H,Lochs H,et al. Overlap syndrome of autoimmune pancreatitis and cholangitis associated with secondary Sj?觟gren’s syndrome [J]. Eur J Gastroenterol Hepatol,2004,16(12):1295-1299.
[22] Chang CC,Chang YS,Wang SH,et al. Primary Sj?觟gren’s syndrome and the risk of acute pancreatitis:a nationwide cohort study [J]. BMJ Open,2017,7(8):e14807.
[23] Sasamoto M,Shigeta Y,Hisashi K,et al. Cutaneous polyarteritis nodosa associated with streptococcal infection in a child and a review of the literature [J]. Nihon Rinsho Meneki Gakkai Kaishi,1999,22(3):144-150.
[24] Maeno N,Takei S,Imanaka H,et al. Anti-alpha-fording antibodies in Sj?觟gren’s syndrome in children [J]. J Rheumatol,2001,28(4):860-864.
[25] 董怡.原发性干燥综合征诊疗规范的必要性与重要性[J].中华内科杂志,2020,59(4):267-268.
[26] 姚血明,侯雷,曾苹,等.干燥综合征误诊原因分析[J].风湿病与关节炎,2020,9(1):28-30. |
|
|
|