Journal 5, May 2023pages: 351
1 Department of Nephrology, Shaare Zedek Medical Center, Jerusalem, Israel
2 Department of Rheumatology, Shaare Zedek Medical Center, Jerusalem, Israel
3 Department of Radiology, Shaare Zedek Medical Center, Jerusalem, Israel
4 Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel
The patient, a 32-year-old woman diagnosed with Sjögren's syndrome (SS), according to the 2016 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) criteria, presented with paresthesia of her face and limbs. Extra glandular manifestations of her primary disease included severe Raynaud's phenomenon and chronic interstitial nephritis. There was no family history of neurologic diseases. Neurological examination was notable for symmetrical decreased sensation in the upper limbs distally. The rest of the neurological examination was unremarkable.