Steroid-resistant protein-losing gastroenteropathy complicated with Sjögren's syndrome successfully treated with mizoribine

Mod Rheumatol. 2018 Jul;28(4):716-720. doi: 10.3109/14397595.2016.1145570. Epub 2016 Apr 4.

Abstract

A 64-year-old woman with leg edema was diagnosed with protein-losing gastroenteropathy and Sjögren's syndrome. Central venous nutrition led to infection of her catheter, ascites, and deep vein thrombosis. Following successful treatment of these conditions with antibiotics and anticoagulants, she was treated unsuccessfully with prednisolone and steroid pulse therapy. Mizoribine add-on markedly reduced edema and normalized serum albumin. This is the first report of a steroid-resistant protein-losing gastroenteropathy patient with Sjögren's syndrome successfully treated with mizoribine.

Keywords: Mizoribine; Sjögren’s syndrome; Steroid-resistant PLGE.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / therapeutic use*
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / therapeutic use*
  • Middle Aged
  • Prednisolone / administration & dosage
  • Prednisolone / therapeutic use*
  • Protein-Losing Enteropathies / complications
  • Protein-Losing Enteropathies / drug therapy*
  • Ribonucleosides / administration & dosage
  • Ribonucleosides / therapeutic use*
  • Sjogren's Syndrome / complications
  • Sjogren's Syndrome / drug therapy*

Substances

  • Glucocorticoids
  • Immunosuppressive Agents
  • Ribonucleosides
  • mizoribine
  • Prednisolone