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Sjogren syndrome presenting as atrioventricular block in an adult
  1. Moiz Ehtesham1,
  2. Kathryn Fortune1,
  3. Muhammad Asim Shabbir1 and
  4. Ruben Peredo-Wende2
  1. 1Internal Medicine, Albany Medical Center Hospital, Albany, New York, USA
  2. 2Division of Rheumatology, Albany Medical Center, Albany, New York, USA
  1. Correspondence to Dr Moiz Ehtesham; ehteshm{at}


A woman in her late teens with a history of Juvenile idiopathic arthritis (JIA) and ongoing sicca symptoms presented with syncope. Upon admission, she was found to be bradycardic with a second-degree atrioventricular (AV) block. After infectious, structural and metabolic aetiologies had been ruled out, she was worked up for rheumatologic causes.

Our patient had elevated titres of anti-Sjogren syndrome (SS) antibodies anti-Ro antibodies and was diagnosed with AV block secondary to SS. She was treated with a permanent pacemaker. Patient was followed up in clinic where she denied further syncopal episodes and was started on secretagogues for sicca symptoms.

  • Pacing and electrophysiology
  • Sjogren's syndrome
  • Rheumatology
  • Cardiovascular medicine
  • Arrhythmias

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  • Contributors ME and KF drafted the article, MAS edited the report and R-PW gave critical insight on the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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