Sjogren syndrome presenting as atrioventricular block in an adult.

Arrhythmias Cardiovascular medicine Pacing and electrophysiology Rheumatology Sjogren's syndrome

Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
08 Apr 2022
Historique:
pmc-release: 08 04 2024
entrez: 9 4 2022
pubmed: 10 4 2022
medline: 13 4 2022
Statut: epublish

Résumé

A woman in her late teens with a history of Juvenile idiopathic arthritis (JIA) and ongoing sicca symptoms presented with syncope. Upon admission, she was found to be bradycardic with a second-degree atrioventricular (AV) block. After infectious, structural and metabolic aetiologies had been ruled out, she was worked up for rheumatologic causes.Our patient had elevated titres of anti-Sjogren syndrome (SS) antibodies anti-Ro antibodies and was diagnosed with AV block secondary to SS. She was treated with a permanent pacemaker. Patient was followed up in clinic where she denied further syncopal episodes and was started on secretagogues for sicca symptoms.

Identifiants

pubmed: 35396234
pii: 15/4/e247337
doi: 10.1136/bcr-2021-247337
pmc: PMC8996011
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Moiz Ehtesham (M)

Internal Medicine, Albany Medical Center Hospital, Albany, New York, USA ehteshm@amc.edu.

Kathryn Fortune (K)

Internal Medicine, Albany Medical Center Hospital, Albany, New York, USA.

Muhammad Asim Shabbir (MA)

Internal Medicine, Albany Medical Center Hospital, Albany, New York, USA.

Ruben Peredo-Wende (R)

Division of Rheumatology, Albany Medical Center, Albany, New York, USA.

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Classifications MeSH