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Open Access Highly Accessed Case report

Psychiatric disorder as clinical presentation of primary Sjögren's syndrome: two case reports

Lorenzo Pelizza*, Federica Bonacini and Alberto Ferrari

Author Affiliations

Guastalla Psychiatric Service, Reggio Emilia Mental Health Department, Reggio Emilia, Italy

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Annals of General Psychiatry 2010, 9:12  doi:10.1186/1744-859X-9-12

Published: 1 April 2010

Abstract

Psychiatric disorders in primary Sjögren's syndrome constitute a possible clinical reality that each practitioner must be able to recognise and treat. In this article, two case reports of mental disorder as clinical presentation of primary Sjögren's syndrome are presented, suggesting that psychiatric manifestations in primary Sjögren's syndrome can occur not only during its longitudinal course, but also at the onset of the autoimmune syndrome. A better adapted prescription of corticosteroids and/or immunosuppressive agents (together with specific psychotropic treatments) can induce rapid relief of mental symptoms.