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EN
Introduction and aim. Autoimmune rheumatic diseases are a group of disorders with similar clinical, laboratory and immunological manifestations. Connective tissue diseases include systemic scleroderma, dermatomyositis or polymyositis, Sjögren’s syndrome, rheumatoid arthritis, and systemic lupus erythematosus. If the patient meets the diagnostic criteria for at least two of these diseases and has specific serologic markers, a diagnosis of overlap syndrome is possible. Description of the case. This case describes a 27-year-old man who had a history of paroxysmal fever, night sweats, erythema-like skin lesions on the forearms and lower legs, a feeling of progressive muscle weakness especially in the proximal muscles, and dry mouth. The patient was diagnosed with an overlap syndrome: systemic lupus erythematosus, dermatomyositis, and Sjögren’s syndrome. Conclusion. Overlap syndrome is difficult to treat due to its multisystem nature, requiring a symptomatic therapeutic approach and careful control of medication doses to reduce side effects while controlling disease activity.
EN
Introduction and aim. Oral manifestation of the disorder is the leading cause of common initial features of most autoimmune diseases. Therefore, this study aimed to present different oral manifestations of selected autoimmune diseases. Material and methods. We systematically reviewed the etiology, signs and symptoms, oral manifestations, epidemiology, diagnosis, treatment plan, and prognosis. We searched the articles on PubMed, Google Scholar and Web of Science for the following search term: Behcet’s disease, lichen planus, mucous membrane pemphigoid and bullous pemphigoid, pemphigus vulgarisms and paraneoplastic pemphigus, rheumatoid arthritis, Sjögren’s syndrome, IgG4-related disease, systemic lupus erythematous, and granulomatosis with polyangitis. Analysis of the literature. We conducted that the disorder’s oral manifestation causes most autoimmune illnesses’ earliest symptoms. Conclusion. Clinical-pathological is a piece of requisite knowledge for the dentist to recognize and diagnose in the early phase of the symptoms.
PL
Zespół nieszczelnego jelita (ZNJ, zespół cieknącego jelita) to stan związany ze zwiększoną przepuszczalnością błony śluzowej jelit z powodu jej uszkodzenia i destabilizacji. Heterogenna etiologia schorzenia obejmuje infekcje, stres, niewłaściwą dietę, ciążę, menopauzę, stosowanie leków oraz alergie pokarmowe. W konsekwencji do krwi przedostają się niekompletnie strawione składniki pokarmowe, drobnoustroje oraz toksyny, które negatywnie wpływają na pracę całego organizmu. Przewlekłe narażenie na obce antygeny przeciąża układ odpornościowy, co może prowadzić do trwałego obniżenia odporności. Ostatecznie mogą się pojawiać zaburzenia ze strony układu pokarmowego, przewlekłe zmęczenie, nietolerancje pokarmowe, bóle stawowe oraz dermopatie. Rozregulowanie odpowiedzi immunologicznej może być wreszcie przyczyną przewlekłych chorób autoimmunologicznych, jak cukrzyca, toczeń układowy, choroba Crohna, zapalenie jelita grubego, stwardnienie rozsiane, choroba Hashimoto czy reumatoidalne zapalenie stawów (RZS).
EN
Leaky gut syndrome (LGS) is associated with increased permeability of the intestinal mucosa due to the destruction of its structure and associated abnormal function. Heterogeneous etiology includes infections, stress, pregnancy, diet, menopause, medication, and food allergies. The end result is damage and destabilization of the intestinal mucosa leading to loss of the ability to properly fi lter nutrients and other substances. As a result of increased intestinal permeability, incompletely digested nutrients, microbes and toxins that would be removed in normal conditions enter the bloodstream, thereby adversely affecting the whole organism. Chronic exposure to foreign antigens overloads the immune system. Finally, disorders of the digestive system may appear, resulting in chronic fatigue, food intolerances, joint pain and dermopathy. Dysregulation of the immune response in the course of LGS may fi nally lead to chronic autoimmune diseases including diabetes, systemic lupus erythematosus, Crohn’s disease, colitis, multiple sclerosis, Hashimoto’s disease, or rheumatoid arthritis (RA).
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