Aseptic Meningitis as an Initial Presentation of Primary Sjögren's Syndrome: A Case Report

Cureus. 2024 Oct 11;16(10):e71252. doi: 10.7759/cureus.71252. eCollection 2024 Oct.

Abstract

Neurological symptoms that occur before the diagnosis of primary Sjögren's syndrome (PSS) can vary and affect either the central nervous system (CNS) or the peripheral nervous system (PNS). Aseptic meningitis, although rare, can be an initial central neurological sign of PSS. This case report describes a 54-year-old patient who was initially presented with aseptic meningitis and was subsequently diagnosed with PSS. The diagnosis was based on clinical features and the results of serum autoantibody tests. The patient did not undergo a minor salivary gland biopsy to confirm the diagnosis. Symptomatic management resulted in an improvement in the patient's condition.

Keywords: aseptic meningitis; autoimmune diseases; dry eye and mouth; headache; primary sjogren’s syndrome; sjögren's syndrome.

Publication types

  • Case Reports