{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T09:11:25Z","timestamp":1764493885742},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,11,28]],"date-time":"2016-11-28T00:00:00Z","timestamp":1480291200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Sj\u00f6gren syndrome is thought to be a lymphocyte\u2010driven process. Peripheral nervous system involvement occurs in about 20%\u201325% of patients. A sensory\u2010predominant, large\u2010fiber peripheral neuropathy is most common, and it is usually associated with a subacute to chronic presentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We report a rare case of an acute Sj\u00f6gren\u2010associated, sensory predominant, length\u2010dependent peripheral neuropathy mimicking Guillain\u2013Barr\u00e9 syndrome. The patient presented with sensory ataxia preceded by fever and polyarthralgia. She gave a history of years of dry eyes and dry mouth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>She had a positive Shirmer test, abnormal salivary gland scan, and positive SS\u2010A and SS\u2010B antibodies. A sural nerve biopsy showed an unusual, dense, non\u2010IgG4, polyclonal, plasma\u2010cell perivascular infiltrate. The patient responded to treatment with weekly pulse intravenous methylprednisolone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sj\u00f6gren syndrome can present with acute\u2010onset, sensory predominant peripheral neuropathy. The role of plasma cells in Sj\u00f6gren syndrome is unexplored and deserves further study. <jats:italic>Muscle Nerve<\/jats:italic> <jats:bold>55<\/jats:bold>: 605\u2013608, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/mus.25475","type":"journal-article","created":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T19:45:48Z","timestamp":1479325548000},"page":"605-608","source":"Crossref","is-referenced-by-count":2,"title":["Unusual presentation Of Sj\u00f6gren\u2010associated neuropathy with plasma cell\u2010rich infiltrate"],"prefix":"10.1002","volume":"55","author":[{"given":"Elie","family":"Naddaf","sequence":"first","affiliation":[{"name":"Department of Neurology Mayo Clinic 200 First Street SW Rochester Minnesota 55905 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Berini","sequence":"additional","affiliation":[{"name":"Department of Neurology Mayo Clinic 200 First Street SW Rochester Minnesota 55905 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. James","family":"B. Dyck","sequence":"additional","affiliation":[{"name":"Department of Neurology Mayo Clinic 200 First Street SW Rochester Minnesota 55905 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruple S.","family":"Laughlin","sequence":"additional","affiliation":[{"name":"Department of Neurology Mayo Clinic 200 First Street SW Rochester Minnesota 55905 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000141099.53742.16"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2008.08.001"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.48.4.855"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.39.3.390"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awh605"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.23.8.690"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/NRL.0b013e3181ebe59f"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.6.554"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21830"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.41.142"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurol.2010.10.009"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002039"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(74)90417-4"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.1991.tb03034.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2016.01.024"}],"container-title":["Muscle &amp; Nerve"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.25475","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmus.25475","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mus.25475","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T13:14:55Z","timestamp":1696338895000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mus.25475"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,28]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1002\/mus.25475"],"URL":"https:\/\/doi.org\/10.1002\/mus.25475","archive":["Portico"],"relation":{},"ISSN":["0148-639X","1097-4598"],"issn-type":[{"value":"0148-639X","type":"print"},{"value":"1097-4598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,28]]}}}