https://doi.org/10.4081/reumatismo.2020.1287

Psoriatic spondyloarthritis and Sjögren syndrome: a casual association?

Vol. 72 No. 3 (2020)
Submitted: 6 April 2020
Accepted: 18 July 2020
Published: 19 November 2020
Psoriatic arthritis mutilans, Sjögren’s syndrome, antinuclear antibodies, anti TNF-therapy.
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Authors

V. Bruzzese
https://orcid.org/0000-0001-7342-6350
Internal Medicine and Rheumatology Unit, P.O. S. Spirito-Nuovo Regina Margherita Hospital, Rome, Italy.
C. Marrese
Internal Medicine and Rheumatology Unit, P.O. S. Spirito-Nuovo Regina Margherita Hospital, Rome, Italy.
P. Scolieri
https://orcid.org/0000-0002-2055-7282
Internal Medicine and Rheumatology Unit, P.O. S. Spirito-Nuovo Regina Margherita Hospital, Rome, Italy.
J. Pepe
jessica.pepe@uniroma1.it
https://orcid.org/0000-0003-1566-6553
Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, La Sapienza, University of Rome, Italy.

The association between Sjögren syndrome (SS) and psoriatic arthritis (PsA) is rare. Herein, we report a case of SS in a PsA patient with the mutilans variant. A 67-year old woman developed PsA with progressive articular destruction up to the typical deformation of ‘telescoping fingers’ in the distal phalanges. Psoriatic onychopathy presented ten years after the osteolytic damage in the hands. This late appearance led to delayed diagnosis and therapy, and, consequently, worsened the articular destruction. Thereafter, the patient developed a typical SS with clinical symptoms, such as xerophthalmia and xerostomia. This diagnosis was confirmed by positive diagnostic tests, such as Schirmer test, ANA, and anti-SSA/Ro and anti-SSB/La antibodies. A potential association between the two diseases is discussed.

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How to Cite

Bruzzese, V., Marrese, C., Scolieri, P., & Pepe, J. (2020). Psoriatic spondyloarthritis and Sjögren syndrome: a casual association?. Reumatismo, 72(3), 170–172. https://doi.org/10.4081/reumatismo.2020.1287

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