Abstract
A 24-year-old man with primary Sjögren's syndrome presented with xerophthalmia, xerostomia, and marked parotid swelling. He had a previous history of selective IgA deficiency and ulcerative colitis treated with sulphasalazine. Immunosuppression and withdrawal of sulphasalazine resulted in rapid resolution of the parotitis and disappearance of autoantibodies. A possible role for sulphasalazine in the induction of autoimmunity in this case is discussed.
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Selected References
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- Barkley D. O., Hohermuth H. J., Howard A., Webster D. B., Ansell B. M. IgA deficiency in juvenile chronic polyarthritis. J Rheumatol. 1979 Mar-Apr;6(2):219–224. [PubMed] [Google Scholar]
- Cassidy J. T., Burt A., Petty R., Sullivan D. Selective IgA deficiency in connective tissue diseases. N Engl J Med. 1969 Jan 30;280(5):275–275. doi: 10.1056/nejm196901302800520. [DOI] [PubMed] [Google Scholar]
- Farr M., Kitas G. D., Tunn E. J., Bacon P. A. Immunodeficiencies associated with sulphasalazine therapy in inflammatory arthritis. Br J Rheumatol. 1991 Dec;30(6):413–417. doi: 10.1093/rheumatology/30.6.413. [DOI] [PubMed] [Google Scholar]
- Johnson C. D. Obstructive jaundice in a patient with ulcerative colitis, Sjögren's syndrome and sarcoidosis. J R Soc Med. 1989 Jun;82(6):362–362. doi: 10.1177/014107688908200616. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Laversuch C. J., Collins D. A., Charles P. J., Bourke B. E. Sulphasalazine-induced autoimmune abnormalities in patients with rheumatic disease. Br J Rheumatol. 1995 May;34(5):435–439. doi: 10.1093/rheumatology/34.5.435. [DOI] [PubMed] [Google Scholar]
- Liblau R. S., Bach J. F. Selective IgA deficiency and autoimmunity. Int Arch Allergy Immunol. 1992;99(1):16–27. doi: 10.1159/000236330. [DOI] [PubMed] [Google Scholar]
- Triantafillidis J. K., Roussou P., Manousos O. N., Dadioti P., Nicolakis D. Ulcerative colitis and Sjogren's syndrome in the same patient: report of two cases and a review of the literature. Ital J Gastroenterol. 1994 Jul-Aug;26(6):299–302. [PubMed] [Google Scholar]
