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A male presenting with polyuria: a case of primary Sjögren syndrome

Authors:

D. S. Satharasinghe,

University of Colombo, LK
About D. S.
Postgraduate Institute of Medicine
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S. H. Atukorale,

Teaching Hospital, Anuradhapura, LK
About S. H.
Department of Rheumatology
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P. Weerawansa,

Rajarata University of Sri Lanka, LK
About P.
Department of Medicine, Faculty of Medicine and Allied Sciences
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H. M. S. Senanayake

Rajarata University of Sri Lanka, LK
About H. M. S.
Department of Medicine, Faculty of Medicine and Allied Sciences
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Abstract

Sjögren syndrome is a chronic autoimmune disorder with lymphocytic infiltration of exocrine glands causing oral and ocular dryness and well recognized systemic manifestations. Although primary Sjögren syndrome (pSS) is common in women, it is not well recognized in men. This is the first reported case of pSS in a Sri Lankan male to the best of our knowledge.

 

A 58-year-old man presented with polyuria. He has had sicca symptoms for six months and polyuria was secondary to the increased water intake to relieve oral dryness. Examination revealed enlarged tender bilateral salivary glands. After excluding secondary causes, he was diagnosed with pSS. The treatment commenced with steroids, azathioprine, and symptomatic therapy.

 

Primary Sjögren syndrome is an overlooked diagnosis, especially in men, leading to increased morbidity given its multi-organ involvement. Recognition and supportive therapy can help to improve the quality of life of patients.

How to Cite: Satharasinghe, D.S., Atukorale, S.H., Weerawansa, P. and Senanayake, H.M.S., 2020. A male presenting with polyuria: a case of primary Sjögren syndrome. Anuradhapura Medical Journal, 14(1), pp.13–16. DOI: http://doi.org/10.4038/amj.v14i1.7659
Published on 15 Dec 2020.
Peer Reviewed

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