A 41-year-old Female Presenting with Sicca Syndrome

Authors

  • Laurence Ian Tan Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila
  • José Florencio F. Lapeña, Jr. Department of Otorhinolaryngology College of Medicine, University of the Philippines Manila; Department of Otorhinolaryngology Head and Neck Surgery East Avenue Medical Center, Diliman, Quezon City

DOI:

https://doi.org/10.32412/pjohns.v23i2.739

Keywords:

sicca syndrome, sjogren syndrome, keratoconjunctivitis sicca, stomatitis sicca, xerostomia, dysparenuia

Abstract

Objective: To describe a case of Sicca syndrome, review the literature on and discuss the diagnostic criteria for Sjögren Syndrome.

Methods:

Design: Case report

Setting: Private Clinic 

Patients: One

Results: A 41-year-old female presenting with throat dryness, dry eyes, bilateral parotid enlargement, vaginal dryness and multiple joint pains previously seen by four specialists over three decades was finally diagnosed with Sjögren syndrome.

Conclusion:  Sjögren syndrome presents uncommonly. As the presentation and clinical course should be taken as a whole, and no single test can be considered as a gold standard for its diagnosis, the disease entity may actually be under diagnosed, misdiagnosed or frequently present as diagnostic dilemmas. A comprehensive history and physical examination beyond the usual focus of the otorhinolaryngologic evaluation is the key for the astute clinician. Our experience may indicate a need for further evaluation of the EU revised criteria for Sjögren syndrome classification in the local setting.

 

Keywords: sicca syndrome, sjogren syndrome, keratoconjunctivitis sicca, stomatitis sicca, xerostomia, dysparenuia

 

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Published

2008-12-27

How to Cite

1.
Tan LI, Lapeña JFF. A 41-year-old Female Presenting with Sicca Syndrome. Philipp J Otolaryngol Head Neck Surg [Internet]. 2008 Dec. 27 [cited 2024 Nov. 24];23(2):32-4. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/739

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