A case of Sjogren's syndrome with acute transverse myelitis and polyneuropathy in a patient free of sicca symptoms

Acute transverse myelitis (ATM) is an inflammatory process involving a restricted area of the spinal cord. The usually dramatic presentation with rapidly progressive symptoms involving motor, sensory, and autonomic functions makes ATM a medical emergency. ATM has been cited as a rare and unusual complication of Sjogren's syndrome, but early diagnosis and aggressive treatment might improve the prognosis. I report a case of Sjogren's syndrome with ATM and polyneuropathy in a patient free of sicca symptoms and having skin lesions and synovitis as the initial manifestations.