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KMID : 0338420060210020116
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The Korean Journal of Internal Medicine
2006 Volume.21 No. 2 p.116 ~ p.119
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Concurrence of Sjogren’s Syndrome in a Patient with Chlamydia-induced Reactive Arthritis: An Unusual Finding
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Chang HK
Bang KT/Lee BH/Kim JH/Bae KW/Kim MJ/Kim SK
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Abstract
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A 40-year-old Korean man presented with painful swelling and tenderness of both ankle joints as well as the plantar surfaces of both feet, along with inflammatory back pain, and a purulent discharge from the urethral orifice. The patient also complained of sicca-like symptoms including dry eyes and dry mouth. An immunological analysis revealed a high titer of rheumatoid factor, positive results for antinuclear antibody and anti-Ro antibody, and a positive result for HLA-B27. An antibody titer for Chlamydia was also significantly increased. Positive results of the Schirmer’s test and for keratoconjunctivitis sicca were confirmed by an ophthalmologist. These clinical manifestations were compatible with Chlamydia-induced reactive arthritis (ReA) accompanied by Sjogren’s syndrome (SS). This is the first report of the combination of these two distinct disease entities in the Korean population.
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KEYWORD
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