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-β
2-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.