Autoimmune manifestations in acquired idiopathic splenic atrophy: A puzzling association.

Abstract:

:Splenic atrophy is an uncommon diagnosis associated with celiac sprue or other well-characterized connective tissue diseases, drepanocytosis, or amyloidosis. We report two patients with splenic atrophy revealed by thrombocytosis. Both patients had anti-nuclear antibodies. Patient 1 also had a grade III Chisholm lymphocytic sialadenitis with a rheumatoid factor, anti-extractable nuclear antibodies, and a polyclonal hypergammaglobulinemia consistent with the diagnosis of Sjögren's syndrome. Patient 2 displayed a previous history of idiopathic pericarditis. An anti-pneumococcal vaccination was given to both patients and neither experienced infectious complications. Splenic atrophy should be suspected in patients with thrombocytosis of unexplained origin and a blood smear consistent with asplenia. Such patients must be checked for clinical and biological symptoms of autoimmune disorders.

journal_name

Eur J Intern Med

authors

Coppo P,Saadoun D,Varet B

doi

10.1016/j.ejim.2006.07.008

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

580-2

issue

8

eissn

0953-6205

issn

1879-0828

pii

S0953-6205(06)00192-0

journal_volume

17

pub_type

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