Rheumatology Advance Access originally published online on December 13, 2005
Rheumatology 2006 45(2):238-240; doi:10.1093/rheumatology/kei175
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
LETTER TO THE EDITOR |
Renal tubular acidosis, arthritis and autoantibodies: primary Sjögren's syndrome in childhood
Department of Paediatric Rheumatology, North Bristol NHS Trust and Royal National Hospital for Rheumatic Diseases, Southmead Hospital, Bristol, 1 Department of Paediatric Nephrology, Bristol Royal Hospital for Children, Bristol and 2 Department of Paediatrics, Morriston Hospital, Swansea, UK
Correspondence to: A. V. Ramanan, Department of Paediatric Rheumatology, North Bristol NHS Trust and Royal National Hospital, for Rheumatic Diseases, Bath, UK. E-mail: avramanan@hotmail.com
| The first 10% of the full text of this article appears below. |
SIR, Primary Sjögren's syndrome (PSS) is rare in the paediatric population [1, 2]. We describe an 8-yr-old female who presented with arthritis, distal renal tubular acidosis and an autoantibody profile suggestive of Sjögren's syndrome without sicca symptoms.
An 8-yr-old female first presented in November 2004. Her symptoms started 9 months previously with swelling, pain and morning stiffness of her left ankle and knee, and pain in her wrists and hands. She was treated with ibuprofen and started physiotherapy. The pain improved but stiffness remained. In
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