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Table 3 Treatment and follow-up of 14 patients with pSS combined with PN

From: Analysis of clinical features and risk factors of peripheral neuropathy in patients with primary Sjögren's syndrome

No.

Gender

Therapeutic regimen

Follow-up time (years)

Clinical symptoms

mRS rating

Pretreatment

End of follow-up

Pretreatment

End of follow-up

1

F

MP, CTX, MMF

3

Numbness in the nasolabial fold

No remission

1

1

2

F

MP, MMF, HCQ, adenosine cobalamin tablets

2

Numbness in the right lower extremity with loss of tendon reflexes in the ankle joint

Recovered tendon reflexes in the right ankle joint, and disappeared numbness

4

1

3

F

MP, HCQ, adenosine cobalamin tablets, carpal tunnel release

0.5

Numbness in the right thumb

Partial remission

2

1

4

F

MP, HCQ, MMF

1

Numbness on the right side of the face

No remission

1

1

5

F

MP, HCQ, MTX

2

Numbness and pins-and-needles sensation on the lateral edge of the right thigh, with numbness and discomfort in the right thumb

Partial remission

2

1

6

F

MP, HCQ, ASA

1

Obvious left anterior tibial sensation, and pins-and-needles discomfort in the right upper arm

Partial remission

2

1

7

M

Did not receive treatment

0

Numbness on the right side of the face with diminished pain on the lateral edge of the right thigh

2

8

F

MP, CTX, IVIg, rituximab

4

The numbness and pins-and-needles sensation started from the feet, with gradually going upwards to the part below the chest, with normal urination and defecation, difficulty walking, and muscle atrophy of lower limbs

No remission

4

4

9

F

MP, CTX, MMF, belimumab

2.5

Obvious distal numbness in the feet, leading to the middle tibia

No remission

2

2

10

F

MP, CTX

4

Obvious numbness in toes, extending to the peri-ankle joints

Complete remission

2

0

11

F

MP, MMF

3

Numbness and pins-and-needles sensation in the feet, with gradual involvement of the tibias

Numbness receded to the dorsum of the foot, still leaving numbness and a pins-and-needles sensation in the dorsum of the feet

3

2

12

M

MP, CTX

0.5

Numbness and discomfort in the feet

Complete remission

1

0

13

F

MP, MTX, HCQ, CTX

3

Obvious cold pain below the knee joints

Partial remission

2

1

14

F

MP, CTX

2

Obvious numbness in the hands and feet

Partial remission

2

1

15

M

MP, HCQ, CTX

1.5

Burning sensation in the feet

Partial remission

3

1

  1. PSS: primary Sjögren's syndrome; MP: methylprednisolone; CTX: cyclophosphamide; MMF: mortification mycophenolate; MTX: methotrexate; HCQ: hydroxychloroquine sulfate; AZA: azathioprine; IVIg: intravenous human immunoglobulin