Hematological changes as the initial manifestation of primary Sjögren's syndrome

摘要

The case is presented of a 50-year-old woman with persistent abnormal uterine bleeding, secondary anemia, adynamia, and asthenia, in whom bicytopenia is documented with microcytic normochromic anemia and thrombocytopenia. After conducting a thorough study of the causes of bicytopenia, the diagnosis of Sjögren's syndrome was made, in the absence of dry symptoms.