Adolescent Sjogren’s syndrome presenting as psychosis: a case series

Table 1 Presenting Lab Results

Initial Labs	Case 1	Case 2	Case 3	Case 4
CBC/CMP	WNL	WNL	WNL	AST 62 U/L, bilirubin 1.11 U/L
SSA	> 8 iu/mL	4.8 AI	4.8 AI	8 iu/mL
SSB	Negative	> 8 AI	> 8 AI	Negative
CRP	WNL	WNL	1.1 mg/dL	WNL
ESR	WNL	57 mm/hr	60 mm/hr	WNL
C3/C4	WNL	WNL	WNL	WNL/9.6 mg/dL
ANA	1:1280 Speckled	1:1280 Speckled	1:160 mixed	1:640 speckled
dsDNA/Smith/RNP AB	Negative	Negative	Negative	Negative
Ribosomal P/Neuronal/NMDA AB	Negative	Negative	Negative	Negative
APS Panel	Negative	Negative	Negative	Negative
Encephalopathy Panel	Negative	Negative	Negative	Negative
TSH/TPO	WNL/Negative	WNL/Negative	WNL/Negative	WNL/Negative
Immunoglobulins	WNL	IgG 2116 mg/dL	WNL	WNL
RF	WNL	58.7 IU/mL	WNL	WNL
UA/Utox	WNL	WNL	WNL	WNL

Key:
CBC complete blood count, CMP complete metabolic panel, AST Aspartate aminotransferase, SSA Sjogren’s syndrome type A, SSB Sjogren’s syndrome type B, CRP C reactive protein, ESR erythrocyte sedimentation rate, C3 C3 Complement, C4 C4 Complement, ANA antinuclear antibody, dsDNA double stranded deoxyribonucleic acid, RNP ribonucleoprotein, AB antibody, NMDA neuronal, N-methyl-D-aspartate receptor, APS antiphospholipid syndrome, TSH thyroid stimulating hormone, TPO thyroid peroxidase, RF rheumatoid factor, UA urinalysis, Utox Urine toxicology

ISSN: 1546-0096