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Review
. 2014 May 23:2014:bcr2012008038.
doi: 10.1136/bcr-2012-008038.

Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review

John K F Wong  1 , Ross Nortley  2 , Thomasin Andrews  2 , David D'Cruz  1
Affiliations
Review

Psychiatric manifestations of primary Sjögren's syndrome: a case report and literature review

John K F Wong et al. BMJ Case Rep. .

Abstract

A 54-year-old woman diagnosed with primary Sjögren's syndrome in 2007 presented with a 1-year history of visual hallucinations requiring admission to a psychiatric unit. The hallucinations resolved while on olanzapine and hydroxychloroquine but recurred when they were stopped. Despite restarting olanzapine, her visual hallucinations persisted. When she started a tapering dose of prednisolone, all the hallucinations resolved. This report adds to the small literature on psychiatric manifestations of Sjögren's syndrome and provides evidence that low-dose corticosteroids may be an effective treatment for this manifestation.

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