eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
Current issue Archive About the journal Supplements Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
 
1/2019
vol. 57
 
Share:
Share:
more
 
 
abstract:
Case report

Sjögren’s syndrome and lymphadenopathy unraveling the diagnosis of Lyme disease

Svitlana Smiyan
1
,
Igor Galaychuk
2
,
Igor Zhulkevych
2
,
Volodymyr Nykolyuk
3
,
Roman Komorovsky
1
,
Sofiya Gusak
1
,
Ivan Bilozetsky
4

1.
2nd Department of Internal Medicine, Ivan Horbachevsky Ternopil State Medical University, Ukraine
2.
Department of Oncology and Radiology, Ivan Horbachevsky Ternopil State Medical University, Ukraine
3.
Department of Pathohistology, Ternopil Regional Oncology Center, Ukraine
4.
Department of Surgical Dentistry, Ivan Horbachevsky Ternopil State Medical University, Ukraine
Reumatologia 2019; 57, 1: 59-62
Online publish date: 2019/02/28
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Lyme disease is a multisystem tick-borne transmissive disease with heterogeneous manifestations, frequently making the diagnosis difficult in clinical practice. Herein, we report a case of a 43-year-old female patient who presented with generalized lymphadenopathy requiring a further diagnostic evaluation towards lymphoma. The patient also had clinical signs of Sjögren’s syndrome. Lymph node excision with subsequent histological and immunohistochemical studies were performed. While light microscopy findings were suspicious for lymphoma, immunohistochemistry results were consistent with cortical and paracortical lymph node hyperplasia with no evidence of lymphoproliferative disorder. Further laboratory testing confirmed the presence of Lyme borreliosis. Effectiveness of the administered antibiotic therapy confirmed Borrelia burgdorferi infection. Interrelationships between Sjögren’s syndrome, lymphadenopathy and Lyme disease are discussed.
keywords:

Sjögren’s syndrome, lymphadenopathy, Borrelia burgdorferi, Lyme disease





Quick links
© 2020 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe