Abstract
A 51-year-old woman with a diagnosis of primary biliary cirrhosis and Hashimoto thyroiditis followed by concurrent onset of multiple sclerosis and Sjögren syndrome for seven years was admitted. The patient was treated with pulse steroid and cyclophosphamide combined with a physical therapy program. This is a case of four autoimmune diseases coexisting in a single patient, a finding which has not previously been described in the literature. This combination of autoimmune diseases should be kept in mind in patients with the relevant symptoms and signs of each to provide early diagnosis and appropriate treatment.
Publisher
Baycinar Tibbi Yayincilik
Subject
Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation
Reference17 articles.
1. Ortona E, Pierdominici M, Maselli A, Veroni C, Aloisi F, Shoenfeld Y. Sex-based differences in autoimmune diseases. Ann Ist Super Sanita 2016;52:205-12.
2. Quintero OL, Amador-Patarroyo MJ, Montoya-Ortiz G, Rojas-Villarraga A, Anaya JM. Autoimmune disease and gender: Plausible mechanisms for the female predominance of autoimmunity. J Autoimmun 2012;38:J109-19.
3. Mohan MP, Ramesh TC. Multiple autoimmune syndrome. Indian J Dermatol Venereol Leprol 2003;69:298-9.
4. Cojocaru M, Cojocaru IM, Silosi I. Multiple autoimmune syndrome. Maedica (Bucur) 2010;5:132-4.
5. Furuichi M, Makino T, Hara H, Matsui K, Shimizu T. Multiple autoimmune syndrome in a Japanese patient with pemphigus foliaceus. Eur J Dermatol 2010;20:396-7.