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Case Reports
. 2023 Dec 5;94(6):e2023261.
doi: 10.23750/abm.v94i6.15184.

Pulmonary nodules and primary Sjögren syndrome: a case report

Sofia Rigoni  1 , Anna Lanati  2 , Francesco Cirimele  3 , Alfredo Antonio Chetta  4
Affiliations
Case Reports

Pulmonary nodules and primary Sjögren syndrome: a case report

Sofia Rigoni et al. Acta Biomed. .

Abstract

Primary Sjögren syndrome (pSS) is a systemic autoimmune disorder that principally affects the exocrine glands but can also affect systemic or extra-glandular sites. Approximately 65-80% of patients with Sjogren's demonstrate pulmonary involvement at the CT scan and pulmonary nodules (PNs) can be encountered as a common finding. We present the case of a 49-year-old woman admitted to the emergency department for chest pain and fever. The patient was diagnosed with pSS fourteen years prior and had never taken therapy or followed regular check-ups. At the HRTC were found PNs that were studied trough a CT-PET and a needle biopsy via CT guidance, which showed diffuse large B cell lymphoma. This case report underlies the importance of check-ups and the need for a multidisciplinary approach in the care of Sjögren's syndrome patients.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article.

Figures

Figure 1.
Figure 1.
The chest X-ray showed a pseudo-nodular density in the left anterior pericardial region.
Figure 2.
Figure 2.
The HRCT showed two subpleural parenchymal consolidations localized in the left upper lobe (A) and in the lingula (B).
Figure 3.
Figure 3.
PNs at the PET-CT with a high contrast uptake (SUV max 10.9).
Figure 4.
Figure 4.
Multiples areas of high uptake in several hepatic segments (SUV max 13.7) and in the hilar hepatic, peripancreatic and paracaval lymph nodes (SUV max 16.5) at the PET-TC.
See this image and copyright information in PMC

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