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Erschienen in: DGNeurologie 5/2021

26.07.2021 | Sialadenitis | CME Zertifizierte Fortbildung

Neuro-Sjögren

verfasst von: Dr. T. Seeliger, Dr. N. K. Prenzler, Prof. Dr. T. Witte, Prof. Dr. T. Skripuletz

Erschienen in: DGNeurologie | Ausgabe 5/2021

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Zusammenfassung

Das Sjögren-Syndrom ist eine autoimmune Erkrankung, die sich in einer Sicca-Symptomatik in Auge und Mund, aber auch extraglandulär im zentralen und peripheren Nervensystem manifestieren kann. Die neurologische Beteiligung äußert sich dabei meist in Form einer Polyneuropathie, aber auch Hirnnervenausfälle, Myopathien, Myelitiden, Zerebellitiden und Enzephalitiden können auftreten. Die Schwere der Krankheitsverläufe wurde hierbei lange unterschätzt. Das Sjögren-Syndrom betrifft vorrangig Frauen, aber bei Vorliegen eines Neuro-Sjögrens wird ein ausgewogenes Geschlechterverhältnis beobachtet. Die Diagnose wird über das Vorliegen einer objektiven Sicca-Symptomatik, den Nachweis von SSA(Ro)-Antikörpern (SSA: „Sjögren’s-syndrome-related antigen“) und/oder einer Sialadenitis in der Unterlippenspeicheldrüsenbiopsie gestellt. Die Patienten mit extraglandulären Manifestationen profitieren von einer immunmodulierenden Therapie.
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Metadaten
Titel
Neuro-Sjögren
verfasst von
Dr. T. Seeliger
Dr. N. K. Prenzler
Prof. Dr. T. Witte
Prof. Dr. T. Skripuletz
Publikationsdatum
26.07.2021
Verlag
Springer Medizin
Erschienen in
DGNeurologie / Ausgabe 5/2021
Print ISSN: 2524-3446
Elektronische ISSN: 2524-3454
DOI
https://doi.org/10.1007/s42451-021-00363-1

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