Case Report

Bilateral Pleural Effusions as an Initial Presentation in Primary Sjögren’s Syndrome

Table 1

Autoantibody and immunological profile.

ValueNormal valueUnit

Rheumatoid factor150–10IU/L
IgG2693870–1700mg/dL
IgG435.44.8–105mg/dL
IgA525110–410mg/dL
IgM19433–190mg/dL
Antinuclear antibodyX320<40
HomogenousX320
SpeckledX320
Anti-ds-DNA antibody10<12IU/mL
Anticardiolipin antibody (IgM)1.2<3.5IU/mL
Anticardiolipin antibody (IgG)8<10IU/mL
Lupus erythematosus testNegative
Lupus anticoagalant1.05<1.3sec
Preneutralization32.7sec
Postneutralization31.2sec
Antiribonucleoprotein
antibody
Negative
Anti-Sm antibodyNegative
Anti-Sjögren’s syndrome-A antibodyX256
Anti-Sjögren’s syndrome-B antibodyNegative
Proteinase-3 antineutrophil cytoplasmic antibody<10<10EU
Myeloperoxidase antineutrophil cytoplasmic antibody<10<20EU
Serum complement level40.825–48CH50/mL
C39386–160mg/dL
C41917–45mg/dL
Soluble interleukin 2 receptor1550145–519IU/mL