TITLE:
A case of recurrent rhabdomyolysis associated with childhood Sjögren’s syndrome
AUTHORS:
Shuntaro Morikawa, Ichiro Kobayashi, Yutaka Uzuki, Masahiro Ueki, Tetsuo Hattori, Hayato Aoyagi
KEYWORDS:
: Childhood; Infection; Myositis; Mycoplasma Pneumoniae; Sjögren’s Syndrome
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.3 No.3,
August
29,
2013
ABSTRACT: We report a 9-year-old Japanese girl who presented
with muscle weakness and elevated serum levels of muscle-derived enzymes
following mycoplasma infection. Rhabdomyolysis or myositis was suggested by
magnetic resonance imaging and repeated four times within 4 years. Each episode
developed following respiratory infection and spontaneously recovered. The
diagnosis of Sjogren’s syndrome was made by decreased salivary secretion, MR
sialography, lip biopsy, and positive anti-SSA/Ro antibody. Given the rarity of
rhabdomyolysis/myositis, recurrent episode could be induced by infectious
disease on the basis of underlying Sjogren’s syndrome. Conclusion: Sjogren’s
syndrome should be considered as an underlying disease of recurrent
infection-induced rhabdomyolysis/ myositis.