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August 31, 2012International Journal of Rheumatic Diseases

The frequency of sicca symptoms and Sjögren's syndrome in patients with systemic sclerosis

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Authors

ŞKŞenol KobakFÖFahrettin ÖkselKAKenan Aksu

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Overview

Observational study reveals high rates of Sjögren's syndrome in systemic sclerosis patients, indicating that secondary disease presentation may correlate with less severe pulmonary involvement.

Key Points

  • Determine the prevalence of sicca symptoms and Sjögren's syndrome according to American-European Consensus Group criteria in systemic sclerosis patients and compare their clinical and serologic profiles.
  • Assessed 118 patients with systemic sclerosis for sicca symptoms, ocular dryness tests (Schirmer test and tear break-up time), salivary flow, and autoantibodies (RF, ANA, anti-Ro, and anti-La).
  • Performed minor salivary gland biopsies on 74 patients meeting symptom, ocular/oral test, or serology criteria, defining pathology as Chisholm grade 3 or 4 sialoadenitis.
  • Sicca symptoms occurred in 84 of 118 patients (71.2%), and 40 of 118 patients (33.9%) met diagnostic criteria for Sjögren's syndrome based on grade 3/4 sialoadenitis.
  • Patients with both systemic sclerosis and Sjögren's syndrome exhibited lower rates of pulmonary hypertension and less diffuse lung disease, with significant differences in sclerodactylia (P = 0.045) and telangiectasia (P = 0.011) versus systemic sclerosis alone.
  • In the overlap group, 13 patients were positive for anti-Ro, 6 for anti-La, and 37 for anti-topoisomerase 1, alongside higher overall titers of rheumatoid factor, anti-nuclear antibodies, and anti-centromere antibodies.

Cite This Study

Kobak et al. (2012) studied this question.

synapsesocial.com/papers/6a7385dc20644e164b4e5f57https://doi.org/10.1111/j.1756-185x.2012.01810.x
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