Sjogren's Syndrome Support Group
Sjogren's syndrome is an autoimmune disorder in which immune cells attack and destroy the exocrine glands that produce tears and saliva. It also associated with rheumatic disorders such as rheumatoid arthritis, and it is rheumatoid factor positive in 90 percent of cases.
Anyway, does anyone here suffer with hypothyroidism? I was diagnosed approximately 5 months ago...am on a medication 'levothyroxine".. (I joined that DS group as well.) But, I'm wondering if there's a connection between the Sjogren's and having this, becasue I've had pancreatitis, severe neuropathy in my legs, and the thyriod being affected is the newest one. It also causes 'brain fog", and now I'm having a double whammy with this, and my cognitive function. I recently had a lipids test which for the 2nd time in 5 months -- all my levels are off, which means I'm headed for heart disease next, if it doesn't get under control.
These are signs ad symptoms of thyroid problems, and I just wondered if anyone else with Sjogren's has experienced this? Thanks for any replies in advance. :)
Many Blessings to you all.
Thanks for the reply. Wow, over 20 years? May I ask how much levothyroxine you're on? I've been at the starter dose of 25 mg. for 3 months or so. But ever since March all my lipid levels are all flagged -out of range (bad cholesterol, and trigycerides), and it can cause the arteries to clog, etc. So I'm getting a bit worried. I feel so anxious, and even anti-anxiety meds aren't doing the job anymore, I wondering if it's also thyroid related too. My Endo told me to take 2 pills every other day for 6 more weeks to see if the levels go down. Have you had any of these problems? I appreciate your reply...I'm trying to educate myself as much as I can. Thanks again.
YES
I believe I had the beginnings of thyroid problems at least 12 years before diagnosis of Sjs. I had nodules, a goiter and symptoms, but my bloodwork (TSH etc) always showed normal. Then my thyroid grew larger after my SjS dx. I finally convinced my rheumy to run thyroid anti-body tests. Well, he found out not only was I hypo, but I also had Hashimoto's. I went to an Endo. By then the thyroid and nodules were so large and because I was on the immunosuppressant Cellcept, and it could put me at risk for thyroid cancer, he convinced me I needed a total thyroidectomy. So long story short, I had the thyroidectomy last April and I did have thyroid cancer. My thyroid was the size of a grapefruit when the surgeon removed it. He is the one who told me that thyroid problems and Sjogren's co-exist 30% of the time. Anyway, I'm still hypothyroid because I haven't got my Synthroid dose optimized yet. I went from 100 to 125 to 150 and now I'm at 175 and still feeling symptoms. It's hard to tell whether they are from Sjs or hypo or what because a lot of it overlaps!! My brain is soooo foggy!
Oh, and yes I have had pancreatitis, too. Not chronic, because I think it's under control.
Sorry to hear your lipids are off. Hope you can get that under contol.
Best of luck to you,
Jo
Thank you soo very much for your reply. I'm sorry you have it too, but glad to know that I'm not alone, and maybe there's a connectioin. I mean many people talk about not going by their lab results, and going by how they feel....which you probably can relate to. I can't because I was feeling awful from the Sjogren's for the last 4 years, and my Primary dr. sent me to an endocrinologist because a test he performed showed I was hypoglycemic...but that turned out to be wrong, and they found the hypothyroidism. But I am so exhusted all the time, I gained 20 lbs, which was another trigger as to why they tested me for hypo...I was exercising and dieting, and still put on 20 lbs.! It's awful how hard I try to lose, and if I eat 1 thing sweet, I'll gain 2 lbs. I aso have super high anxiety, my meds don't work anymore...I feel so stressed and depressed, but I've got to fight it. I'm not taking plaquenil yet, I know I should have started by now...but I was worried about the side effects...I already have lung issues, and osteosporosis, the list goes on. I'm jsut so tired of this, I'm sorry for sounding negative...I guess I needed to vent a bit., sorry :)
Thanks so much for sharing your information with me...I sure hope your Sjogren's is slowed down with Plaquenil...mine is very agressive, I'm considering starting it very soon. Thanks again.;)
Many Blessings...Take care
Omg, you had pancreatitis too? That's really amazing! I had a severe attack and I know my pancreas was damaged, because the dr. didn't stop me from eating at all (?!) he put me on alow fat diet...I had a fever, etc...and was released with the fever. I had another attack 3 days later, and was admitted to another hospital...released after a few more days. But that was about 15 months ago...and I'm feeling a bit better, but still not able to eat beef, pork, etc.. I'm taking prilosec prn, and feel I'm not really absotbing nutrients properly. I eat very little and can't lose any weight.
Thanks for your reply also.... That's so interesting that so many have this condition in combination with Sjogrens. So, I guess the thyroid problem came first, before the Sjogrens with you as well? As I already mentioned...it's hard to tell when your having the thyroid symptoms, while you've already got the Sjogrens, as fatigue, and brain fog, are the same symptomatically...but for me it was the very high lipd tests which triggered my dr.'s attetention. And I noticed I'm freezing in the mornings all the time now, but I may have had this a long time ago...but the SJS was my first diagnosis. I'm happy I'm started the levothyroxine, I just hope it helps with lowering the lipids. Not a big fan of having to ltake statin drugs. :(
Btw, there is a group here on DS for Hypothyroidism, just in case anyone wasn't aware. Thanks agian for all the great replies, and info. Take care.:)
I hope you all have a joyful and pain free holiday!
Yes, I had a severe pancreatitis attack before Sjogren's diagnosis. I was hospitalized for 4 days on an IV only and no food. I had the high fever also. Very scary.
I went for a second opinion to a university hospital rheumy because in addition to SjS I have Lupus and RA. He told me that pancreatitis also goes with Sjogren's and the reason makes so much sense. He told me they are taught in med school that pancreatic and salivary gland tissue are exactly alike. When you look at them under the microscope you cannot tell the difference. They also both produce amylase, a digestive enzyme. So if the salivary glands are attacked from Sjogren's then why not the pancreas! After my attack I started Prilosec, too. I have not had a major occurence again.
I have the fatigue, weight gain, too.
Hang in there,
Jo
It's good to know you were properly treated for your pancrreatits, with the IV and no food, etc. That's the way everyone I've ever
spoke to who's had it was treated. I gues he wasn't paying any attention, because they were giving me a full diet, even with the fever. But, yes it's anawful experience to go through.I hope I never have it again...the pain was undescribable.
.I've herd about the salivary glands and the pancreas being identical under a microscope too...it's amazing...Sounds like you had a wonderful Dr. too.
Thanks Jo =)
I had SJS symptoms before the thyroid diag. but didn't know what it was and you know how Docs are about putting; two and two together. It seemed if I gave them more than one symptom, they would just pick out the one they were interested in and run with it.
So finally I am starting on low dose steroids with plaquinal to be added later. It took a woman rheumatologist to put it all together. So maybe hypothyroidism and sjs related
It is sad that the medical establishment is not really addressing how to treat sJogrens. Large reputable centers see it as just dry eyes and mouth. We are all testimony to the fact that it is a life changer. We need better integrated treatment.
Thank you for all the posts. They make me feel like we are not alone.