Mesenteric Panniculitis in Sjögren’s Syndrome: A New Systemic Manifestation to Consider?

  • Patrícia Afonso Mendes Department of Internal Medicine A, Coimbra Hospital and University Center, Coimbra, Portugal
  • Diana Marques Ferreira Department of Internal Medicine A, Coimbra Hospital and University Center, Coimbra, Portugal
  • Helena Temido Department of Internal Medicine A, Coimbra Hospital and University Center, Coimbra, Portugal
  • Rui Pina Department of Internal Medicine A, Coimbra Hospital and University Center, Coimbra, Portugal
  • Armando Carvalho Department of Internal Medicine A, Coimbra Hospital and University Center, Coimbra, Portugal

Keywords

Sjögren’s syndrome, mesenteric panniculitis, autoimmune diseases

Abstract

The association between mesenteric panniculitis and Sjögren's syndrome, although rare, is starting to be recognized. Usually, mesenteric panniculitis is symptomatic, presenting with either general or gastrointestinal symptoms. Sjögren's syndrome is an autoimmune disease that typically affects secretory glands, but may have serious systemic involvement. We report the case of a 77-year-old patient in whom accidental discovery of asymptomatic mesenteric panniculitis on computed tomography led to the diagnosis of Sjögren's syndrome with several systemic manifestations.

Author Biographies

Patrícia Afonso Mendes,
Department of Internal Medicine A, Coimbra Hospital and University Center, Coimbra, Portugal

Internal Medicine Resident

References

  • Hussein MRA, Abdelwahed SR. Mesenteric panniculitis: an update. Expert Rev Gastroenterol Hepatol 2015;9:67–78.

  • Both T, Dalm VASH, Martin van Hagen P, Van Daele PLA. Reviewing primary Sjögren’s syndrome: beyond the dryness - from pathophysiology to diagnosis and treatment. Int J Med Sci 2017;14:191–200.

  • Batten RL, Ng WF. A case report of mesenteric panniculitis and primary Sjögren’s syndrome. OJRA 2013;3:ID 39729.

  • Rios-Fernández R, Callejas-Rubio JL, Caba-Molina M, Ríos-Peregrina R, Ortego-Centeno N. Mesenteric inflammatory venoocclusive disease in a patient with Sjögren’s syndrome. Case Rep Med 2014:ID 423420.

  • Burns RL, Bhavnagri SJ. Undiagnosed Sjögren’s syndrome presenting as mesenteric panniculitis. Case Rep Rheumatol 2016: ID 7207638.

  • Kakimoto K, Inoue T, Toshina K, et al. Multiple mesenteric panniculitis as a complication of Sjögren’s syndrome leading to ileus. Intern Med 2016;55:131–134.
  • Published: 2018-02-14

    Issue: Vol 5 No 4 (view)

    Section: Articles

    How to cite:
    Mendes, P., Ferreira, D., Temido, H., Pina, R., & Carvalho, A. (2018). Mesenteric Panniculitis in Sjögren’s Syndrome: A New Systemic Manifestation to Consider?. European Journal of Case Reports in Internal Medicine, 5(4). https://doi.org/https://doi.org/10.12890/2018_000788