Volume 26, Number 5, 743-747, DOI: 10.1007/s10067-006-0398-8

Anti-β2-glycoprotein I in Sjogren’s syndrome is associated with parkinsonism

Sharon Hassin-Baer, Yair Levy, Pnina Langevitz, Sasson Nakar and Michael Ehrenfeld

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Abstract

The nervous system may be involved in up to 30% of patients with Sjogren’s syndrome (SS). We describe three patients with Sjogren’s syndrome and a concomitant parkinsonian syndrome. Elevated titers of anti-β2-glycoprotein I IgG were found in the serum of all three patients. This autoantibody is strongly associated with anticardiolipin (aCL) antibodies, antiphospholipid syndrome (APS), and thromboembolic phenomena, but its role in the pathogenesis of the parkinsonian disorder in SS is unclear. These patients may present a subtype of SS patients in which the presence of aCL antibodies is associated with central nervous system involvement predominantly in the basal ganglia.

Keywords  Anti-β2-glycoprotein I - Anticardiolipin - Parkinsonism - Parkinson’s disease - Sjogren’s syndrome

Sharon Hassin-Baer and Levy Yair contributed equally to this work.

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