Precordial pain as anginal equivalent in Sjogren syndrome: A case study

2003 
The anginal-type chest pain reflects the current condition of cardiovascular events. It is considered to occur due to a sudden and transitory balance disorder between myocardial needs and coronary flow. The key problem for clinicians related to this problem is prompt evaluation and recognition of the symptoms, which enable timely application of a therapeutic procedure. The goal of this work is to show, through a case study of a patient with Sjogren syndrome, that precordial pain under the disguise of acute coronary syndrome can occur in chronic diseases of autoimmune origin. Sjogren syndrome is defined as a chronic inflammatory autoimmune disease characterised by the following three symptoms: dry eyes, dry mouth and one of the systemic diseases of connective tissues. The diagnosis of primary Sjogren syndrome can be set on the basis of two sicca components, whereas secondary Sjogren syndrome is marked by either one or both sicca complex components associated with one of the systemic diseases of connective tissues, most commonly with rheumatoid arthritis. There are numerous clinical manifestations of this disease, as a result of immunity disorder the inflammation causing the destruction of blood vessel walls in response to the accumulated effects of the autoimmune condition.
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