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Rheumatology 2001; 40: 113-115
© 2001 British Society for Rheumatology

Letters to the Editor

Simultaneous presentation of sarcoidosis and Sjögren's syndrome

A. A. van de Loosdrecht, W. Kalk1, H. Bootsma2, J. M. L. Henselmans3, J. Kraan4 and C. G. M. Kallenberg5

Divisions of Haematology,
2Rheumatology,
4Pulmonology and
5Clinical Immunology, Department of Internal Medicine,
1Department of Oral and Maxillofacial Surgery, Academisch Ziekenhuis Groningen, Hanzeplein 1, 9713 GZ, Groningen and
3Department of Neurology, Hofpoort Ziekenhuis, Polanerbaan 2, 3447 GN, Woerden, The Netherlands

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SIR, A 32-yr-old woman presented with pretibial painful red nodules. She had a 6-month history of migratory pain and swelling of several joints. She complained of daily progressive oral dryness, thirst, impaired swallowing and blurred vision with a feeling of dry eyes for more than 3 h a day. Her medical, family, occupational and environmental histories were non-contributory. She used an oral contraceptive and ibuprofen. Physical examination showed oedema of the ankles and erythema nodosum on both legs. Laboratory investigations revealed an erythrocyte sedimentation rate of 44 mm/h (normal value <10) and a . . . [Full Text of this Article]


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