Complete heart block caused by primary Sjögren’s syndrome and hypopituitarism
- Department of Medicine, Charité University Hospital, Humboldt-University of Berlin, Germany
- Dr Baumgart, Georgetown University Hospital, Department of Medicine, 3800 Reservoir Road, Washington, DC 20007, USA.
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 …