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KMID : 0355220150400030130
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Journal of Korean Academy Oral Medicine
2015 Volume.40 No. 3 p.130 ~ p.134
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A Primary Sjogren’s Syndrome Patient Presented with Severe General Toothache
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:Lee Yeon-Hee
:Kho Hong-Seop
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Abstract
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Sjogren’s syndrome (SS) is an autoimmune disease characterized by an autoimmune exocrinopathy involving mainly salivary and lacrimal glands. Apart from manifestations due to involvement of exocrine glands, patients with SS can present with muscular and neurological manifestations. Here, we report a rare case of a 59-year-old woman with primary SS, who presented with severe general toothache and masticatory muscle myalgia successfully treated with clonazepam. Although it was not certain that these symptoms could be originated from focal muscle dystonia or neurological changes that are associated with primary SS, our case suggested that comprehensive evaluation including neuromuscular examinations in the oral and maxillofacial area is needed in patients with SS.
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KEYWORD
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Autoimmunity, Clonazepam, Myalgia, Neuropathy, Sjogren’s syndrome, Toothache
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