原發性謝格連氏症候群的精神表徵

Psychiatric Manifestations of Primary Sjögren’s Syndrome

目的：薛格連氏症候群是一種慢性系統性的自體免疫疾病，當影響到中樞神經系統時， 會有精神疾患、情緒疾患、人格障礙症之呈現。個案報告：一位54 歲患有薛格連氏症候群 之女性病人，在自體免疫抗體活躍時，出現明顯之精神病症狀與情緒症狀，以免疫抑制劑與 抗精神病藥物治療她的症狀，她的症狀也在薛格連氏症候群之活性減少後而緩解。結論：當 遇到一位合併有精神疾患之自體免疫疾病的病人，在有效的治療自體免疫疾病下，其精神病 症狀也會緩解。

Object: Sjogren’s syndrome is a chronic systemic autoimmune disease. When it involves the central nervous system, the patient can have psychotic disorder, mood disorder and personality disorder. Case Report: A 54-year-old female patient with Sjogren’s syndrome presented psychotic and mood symptoms. She showed obvious psychotic and mood symptoms when the autoimmune antibodies are active. Immunosuppressants and antipsychotics are prescribed to treat her symptoms and signs. Patient’s psychiatric symptoms were improved when the activity of Sjogren’s syndrome was subsided. Conclusion: For patients with autoimmune diseases and with psychiatric symptoms, the physician needs to treat the underlying diseases effectively to get their psychiatric conditions improved.