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MR Vol.10 No.2 indexに戻る
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MODERN RHEUMATOLOGY
Vol.10 No.2 |
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Dilated cardiomyopathy (DCM) associated with
SSA antibody in primary Sjogren syndrome |
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| M. Nishinarita1, M. Nakagawa1, E. Tanaka2 |
(1)Department of Rheumatology, Taga General
Hospital, 2-1-2 Kokubu-cho, Hitachi 316-0035, Japan
(2)Institute of Rheumatology, Tokyo Women's College, Tokyo, Japan |
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| Abstract |
| Abstract A 33-year-old Japanese woman was diagnosed
with primary Sjogren syndrome (SS) in 1995. At this time, SSA antibody
had not been detected by the Oucterlony or EIA methods. Two years
later, the patient developed dyspnea. A chest X-ray showed cardiomegaly.
An echocardiogram indicated severe diffuse hypokynesis of the cardiac
wall with a left ventricular ejection fraction of 32%. Positive SSA
antibody (over 500 u/ml) was noted in her serum as measured by the
EIA method. We considered her cardiac manifestation to be dilated
cardiomyopathy associated with primary SS. |
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| Key words |
| Key words Dilated myopathy ・ Sjogren syndrome ・ SSA antibody ・
Cardiac manifestation ・ Elevation of IgG |
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