Korean J Med.  2010 Mar;78(3):396-402.

A case of optic nerve atrophy in a patient with Sjogren's syndrome

Affiliations
  • 1Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea. healthyra@chosun.ac.kr

Abstract

Sjogren's syndrome is a chronic inflammatory disorder that is characterized by lymphocytic infiltration of exocrine glands, especially the lacrimal and salivary glands. Although primarily characterized by a particular form of dry eyes (keratoconjunctivitis sicca) and dry mouth (xerostomia), this condition may affect a wide variety of organs and systems, including the skin, lungs, heart, kidneys, and nervous and hematopoietic systems. Optic neuritis is inflammation of the optic nerve and causes loss of vision, usually because of swelling and destruction of the myelin sheath that covers the optic nerve. The most common etiology is multiple sclerosis. Some other causes include infections, tumors, granuloma, autoimmune disorders (e.g., lupus and Sjogren's syndrome) and the inflammation of vessels (vasculitis) that nourish the optic nerve. In this report, we describe a 16-year-old girl with optic nerve atrophy caused by optic neuritis, which can be a presenting feature of Sjogren's syndrome.

Keyword

Optic nerve atrophy; Optic neuritis; Sjogren's syndrome

MeSH Terms

Adolescent
Atrophy
Exocrine Glands
Eye
Granuloma
Heart
Hematopoietic System
Humans
Inflammation
Kidney
Lung
Mouth
Multiple Sclerosis
Myelin Sheath
Optic Nerve
Optic Neuritis
Salivary Glands
Sjogren's Syndrome
Skin
Vision, Ocular
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