Case Report

Successful Treatment of Sjögren’s Syndrome Presenting as a Condition Similar to Chronic Capillary Leak Syndrome Using Combination Therapy with High-Dose Intravenous Immunoglobulin and Glucocorticoid

Table 2

Characteristics of SCSL with CTD.

CaseAgeGenderCTDTreatments before SCLSSymptoms and/or laboratory findings at the onset of SCLSAnti-SSA antibodyTreatments for SCLSOutcome

1 [11]25FSSGCAbdominal pain, nausea, vomiting pericardial effusion, ascitesPositiveGC and diuretics-IVIGRemission
2 [11]43MSS
SSc
D-penWeight gain, hemoconcentration hypoalbuminemiaNegativeDiuretics and IVIGDead
3 [11]17MPMGC, MTX, AZAEdema of upper limbs and face, hemoconcentration, hypoalbuminemiaNegativeIVIGRemission
4 [11]45FSSNoneOliguria, loss of weight hemoconcentration, hypoalbuminemiaPositiveTransfusion and IVIGRemission
5 [11]55FSSNoneHypovolemic shock hemoconcentration, hypoproteinemiaPositiveTransfusion and GCRemission
6 [12]61MSScNoneShortness of breath, profuse sweating, leg edema, severe fatigue, and otalgiaNAHigh-dose GC and diureticsRemission
7 [13]52FSScImatinib mesylateFacial and lower extremity edema, and elevated alkaline phosphataseNAVasopressorDead
8 [14]7MJDMGC pulse high-dose GCEdema of the neck and upper limbs, myalgia, oliguria, and hypotensionNAIVIGRemission
9 [14]13MJDMGC pulseGeneralized edema, myalgia, oliguria, hypotension, and tachycardiaNAIVIGRemission
10 [14]3MJDMGC pulse high-dose GCEdema of the face and neck, oliguria, acute kidney, and respiratory failureNAIVIGRemission
11 [15]40FSLEGC CPA, AZANausea, vomiting, and intestinal wall edema at CT scanNATransfusion and ISRemission
12 [15]41FSLEGC HCQNausea, vomiting, and intestinal wall edema at CT scanPositiveHigh-dose GCRemission

F: female; M: male; NA: not available; SCLS: systemic capillary leak syndrome; CTD: connective tissue disease; SS: Sjögren’s syndrome; SSc: systemic sclerosis; PM: polymyositis; JDM: juvenile dermatomyositis; SLE: systemic lupus erythematosus; GC: glucocorticoid; IVIG: intravenous immunoglobulin therapy; D-pen: D-penicillamine; AZA: azathioprine; CPA: cyclophosphamide; HCQ: hydroxychloroquine; MMF: mycophenolate mofetil.