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Case report: a 55 old woman with preudotumor cerebri, urticarial vasculuitis and suspected Sjogren syndrome

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dc.contributor.author Sadovici, Victoria
dc.contributor.author Cebanu, Mariana
dc.contributor.author Salaru, Virginia
dc.date.accessioned 2021-12-21T15:00:40Z
dc.date.available 2021-12-21T15:00:40Z
dc.date.issued 2014
dc.identifier.citation SADOVICI, Victoria, CEBANU, Mariana, SALARU, Virginia. Case report: a 55 old woman with preudotumor cerebri, urticarial vasculuitis and suspected Sjogren syndrome. In: MedEspera: the 5th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2014, p. 76. en_US
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/19502
dc.description Internal Medicine Department, State Medical and Pharmaceutical University "Nicolae Testemitanu”, Chisinau, Republic of Moldova en_US
dc.description.abstract Case report: We report a case of a 55 old woman presenting complaints of severe and permanent headache with progressive decrease of visual acuity (VA) for 6 months, xerophtalmia, xerostomia and urticarial eruption. The medical history of the patient is marked by autoimmune thyroiditis and active tobacco smoking (10 cigarettes / day during 20 years). The physical examination was remarkable by a normal body mass index and skin lesions specific for urticarial vasculitis. The remainder of examination was normal. The CBC, biochemical, auto-antibodies and radiological examinations were normal too. The evaluations included the assessment of the cephalalgia: complete neurologic examination, fundus examination, MR1 of the brain and a lumbar puncture. The results have revealed a papilledema, a decrease of VA and an elevation of the opening pressure at the lumbar puncture. The diagnosis conclusion was the presence of pseudotumor cerebri, which is a disorder clinically manifested by chronically elevated intracranial pressure of unknown etiology associated with visual abnormalities. The skin biopsy revealed small vessels wall deposits of IgG and C3, and a polynuclear perivascular infiltrate. The last question was the etiology of the Sicca syndrome, who is supposed to be a Sjogren syndrome. The Shirmer test and the salivary gland scintigraphy confirmed our suspicion. We proceeded to salivary gland biopsy, whose result is on pending. Conclusion: We report a case of a smoking woman who presents a pseudotumor cerebri, urticarial vasculutis where was suspected Sjogren syndrome, defined as a systemic chronic inflammatory disorder characterized by lymphocytic infiltrates in exocrine glands. If the principle of parsimony is used, the three entities can be linked: to our known, in the medical literature where are few case reports concerning the association of Sjogren syndrome and pseudotumor cerebri as a very rare neurological complication. In its turn, the urticarial vasculitis is a known manifestation of Sjogren syndrome. en_US
dc.language.iso en en_US
dc.publisher Ministry of Health of the Republic of Moldova, State Medical and Pharmaceutical University Nicolae Testemitanu, Medical Students and Residents Association en_US
dc.relation.ispartof MedEspera: The 5th International Medical Congress for Students and Young Doctors, May 14-17, 2014, Chisinau, Republic of Moldova en_US
dc.subject Sjogren Syndrome en_US
dc.subject Urticarial Vasculuitis en_US
dc.title Case report: a 55 old woman with preudotumor cerebri, urticarial vasculuitis and suspected Sjogren syndrome en_US
dc.type Other en_US


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  • MedEspera 2014
    The 5th International Medical Congress for Students and Young Doctors, May 14-17, 2014

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