Renal and pancreatic calcification in rheumatoid arthritis with Sjögren's syndrome.
Renal and pancreatic calcification in rheumatoid arthritis with Sjögren's syndrome.
复制标题
类风湿性关节炎伴干燥综合征的肾脏和胰腺钙化。
DOI：
10.1093/rheumatology/26.3.212
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发表时间：
1987
期刊：
影响因子：
--
通讯作者：
S. Roy
中科院分区：
文献类型：
--
作者：
K. Grindulis;S. Roy
我们描述了一名女性患者谁开发血清阳性类风湿关节炎（RA）在12岁。10年后，她的疾病并发干燥综合征（SS）和远端（1型）肾小管酸中毒（RTA）。7年后，她被发现患有肾钙质沉着症。在32岁时，调查了短期的体重减轻和腹痛史，发现了良性胃溃疡和慢性钙化性胰腺炎。我们相信她是第一个RA和SS并发肾脏和胰腺钙化的患者。她的病例强调了1型RTA在SS中的良好预后，并表明胰腺受累可能比临床表现更常见。
We describe a female patient who developed seropositive rheumatoid arthritis (RA) at the age of 12 years. After 10 years her disease was complicated by Sjögren's syndrome (SS) and distal (type 1) renal tubular acidosis (RTA). Seven years later she was noted to have nephrocalcinosis. At the age of 32, investigation of a short history of weight loss and abdominal pain revealed a benign gastric ulcer and chronic calcific pancreatitis. We believe she is the first patient with RA and SS in whom complicating renal and pancreatic calcification have been reported. Her case emphasizes the good prognosis of type 1 RTA in SS and suggests that pancreatic involvement may be more common than clinically apparent.