An uncommon case of primary biliary cirrhosis and Hashimoto thyroiditis followed by the concurrent onset of multiple sclerosis and Sjögren syndrome
Şükran Güzel 1 ,Selin Özen 1
1 Department of Physical Medicine and Rehabilitation, Başkent University Faculty of Medicine, Antalya, Turkey
DOI :
10.5606/tftrd.2022.6369
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.
Keywords :
Autoimmune disease, multiple sclerosis, neurological rehabilitation, Sjögren syndrome
