Late Systemic Lupus Erythematosus associated with Sjögren's syndrome
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https://doi.org/10.32818/reccmi.a5n3a3Keywords:
renal failure, systemic lupus erythematosus, sjögren syndrome, overlap syndrome, cytomegalovirus infection.Abstract
We report the case of an elderly woman, with a previous diagnosis of Sjögren´s Syndrome with renal failure and haema- temesis. During admission, she presented infectious complications (diarrhea), with detection of cytomegalovirus viremia and subsequent improvement after antibiotic and antiviral therapy. The final diagnosis was an acute kidney injury due to a prerenal component because of low water intake and anaemia, postrenal component as a result of morphological changes, and intrinsic renal component on account of suspected lupus nephropathy (because of pathological urinary sediment). The suspected diagnosis was late-onset Systemic Lupus Erythematosus and Overlap Syndrome. Furthermore, underlying gastric neoplasia was suspected.
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Copyright (c) 2020 Sara Carrascosa-García, Miguel Ángel Moruno-Benita, Álvaro García-Campos
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