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Ann Rheum Dis 57:635 doi:10.1136/ard.57.10.635
  • Correspondence

Complete heart block caused by primary Sjögren’s syndrome and hypopituitarism

  1. DANIEL C BAUMGART,
  2. HELGA GERL,
  3. THOMAS DÖRNER
  1. Department of Medicine, Charité University Hospital, Humboldt-University of Berlin, Germany
  1. Dr Baumgart, Georgetown University Hospital, Department of Medicine, 3800 Reservoir Road, Washington, DC 20007, USA.

    CASE REPORT

    Sjögren’s syndrome is a systemic autoimmune disease characterised by lymphocytic infiltration of exocrine glands accompanied by a variety of extraglandular manifestations.1 Endocrinological manifestations, however, are infrequently encountered with the exception of autoimmune thyroiditis.2 3

    Here we report a case of combined Sjögren’s syndrome and hypopituitarism where the patient presented with complete heart block. To date the only two cases reported were published in Japanese.4 5

    A 76 year old woman was brought to the emergency room for syncope. She was diagnosed with bradycardia resulting from atrioventricular block with a ventricular rhythm of 30 bpm and a VVI pacemaker was placed to control the life threatening bradycardia. Her complaints were chronic fatigue, cold intolerance, decreased appetite, xerostomia, and dry eyes over the past five …