Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2021; 9(27): 8171-8176
Published online Sep 26, 2021. doi: 10.12998/wjcc.v9.i27.8171
Subclavian steal syndrome associated with Sjogren's syndrome: A case report
Li-Jun Hao, Jing Zhang, Muhammad Naveed, Kai-Yan Chen, Ping-Xi Xiao
Li-Jun Hao, Ping-Xi Xiao, Department of Cardiology, Sir Run Run Hospital, Nanjing Medical University, Nanjing 211166, Jiangsu Province, China
Jing Zhang, Muhammad Naveed, Department of Clinical Pharmacology, Nanjing Medical University, Nanjing 211166, Jiangsu Province, China
Kai-Yan Chen, Department of Clinical Medicine, Nanjing Medical University, Nanjing 211166, Jiangsu Province, China
Author contributions: Hao LJ, Zhang J, and Naveed M contributed equally to this work; Hao LJ and Xiao PX contributed to the design of the study; Zhang J and Chen KY managed the article search and helped to draft the manuscript; Naveed M and Zhang J contributed to revising the manuscript; all authors have approved the final manuscript.
Supported by General Funding of Health Commission of Jiangsu Province, No. H2019076.
Informed consent statement: The patient has provided informed consent for publication of the case.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Ping-Xi Xiao, PhD, Consultant Physician, Department of Cardiology, Sir Run Run Hospital, Nanjing Medical University, No. 109 Longmian Avenue, Jiangning District, Nanjing 210000, Jiangsu Province, China.
Received: April 9, 2021
Peer-review started: April 9, 2021
First decision: April 23, 2021
Revised: May 16, 2021
Accepted: August 13, 2021
Article in press: August 13, 2021
Published online: September 26, 2021
Core Tip

Core Tip: We present a case of subclavian steal syndrome caused by Sjogren's syndrome where the patient had experienced dizziness and left upper limb weakness for 10 years despite medical treatment and was misdiagnosed as general cerebral infarction. This case illustrates the significance of detailed history collection and physical examination. A young patient with hypertension needs to measure bilateral blood pressure and examine the immunologic condition and aorta computed tomography angiography to analyze secondary hypertension factors such as Sjogren's syndrome.