Catatonia and Psychosis as Manifestations of Primary Sjögren’s Syndrome

Authors

• Steeve Neves Rosado Internal Medicine Residents, on Final Year – Beatriz Ângelo Hospital, Loures, Portugal
• Vera Silveira Internal Medicine Residents, on Final Year – Beatriz Ângelo Hospital, Loures, Portugal
• Ana Isabel Reis Internal Medicine Residents, on Final Year – Beatriz Ângelo Hospital, Loures, Portugal
• André Gordinho Internal Medicine Residents, on Final Year – Beatriz Ângelo Hospital, Loures, Portugal
• Carla Noronha Consultant in Internal Medicine – Beatriz Ângelo Hospital, Loures, Portugal

steeve.nr7@gmail.com

Keywords

Abstract

Primary Sjögren’s syndrome (SS) is a chronic, systemic autoimmune disease, most commonly presenting with sicca symptoms—xerostomia and xerophthalmia. Up to one-half of affected individuals also develop extra-glandular involvement. Early diagnosis is important to prevent further complications. This paper describes an atypical case of SS in a 21-year-old woman who presented first with neuropsychiatric symptoms and fever. She was diagnosed and treated for a presumed psychotic episode. However, because she remained febrile, a thorough investigation resulted in the challenging diagnosis of SS.