Mononeuropathy Multiplex – Case Report of An Unusual Manifestation of Primary Sjögren’s Syndrome

Sjögren’s Syndrome (SS) is a chronic autoimmune disease characterized by exocrinopathy, with xerophthalmia and xerostomia. Patients SS may exhibit extra-glandular features such as neurologic symptoms. Peripheral neuropathy the most common neurological complication of primary (pSS). We report case 71-year-old female pSS admitted to Internal Medicine ward due sensorimotor symptoms petechiae. From extensive study carried out, emphasis given elevation inflammatory markers nerve conduction compatible mononeuritis multiple nerves. The diagnosis mononeuropathy multiplex (MM) secondary was made. She started on corticosteroid therapy, which allowed complete regression petechiae well symptomatic functional improvement. However, new deficits were noted few days later. decision made start cycles cyclophosphamide in association physical therapies, leading deficit Currently, patient remission low-dose therapy.