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Labial salivary gland biopsy in sjögren's syndrome
Abstract
Xerostomia is an unsatisfactory diagnostic criterion for the salivary component of Sjögren's syndrome (SS). To determine the diagnostic usefulness of the presence of focal sialadenitis in labial salivary gland (LSG) biopsy specimens, 362 patients suspected of having SS prospectively underwent a unique LSG biopsy procedure. The pattern and severity of LSG inflammation were compared with measurements of parotid flow rate, and the presence or absence of symptomatic xerostomia, major salivary gland enlargement, keratoconjunctivitis sicca (KCS), and other connective tissue diseases (CTD). LSG biopsy focus scores of >1 correlated more closely with the diagnoses of KCS alone and with KCS plus a CTD than did either reduced parotid flow rate or symptoms of xerostomia (P < 0.0005 and P < 0.05, respectively). Focal sialadenitis in an adequate LSG specimen is an objective criterion and a more disease‐specific feature of SS than xerostomia or any other feature of salivary disease. The salivary component of SS should be redefined as the presence of LSG focal sialadenitis.
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Citations
Cited by
T he D iagnostic A pplications of S aliva — A R eview
Kaufman, E., & Lamster, I. B. (2002) · Critical Reviews in Oral Biology & Medicine · doi:10.1177/154411130201300209 · Cited by 887
Fox, R. I., Michelson, P., Casiano, C. A., Hayashi, J., & Stern, M. (2000) · Clinics in Dermatology · doi:10.1016/s0738-081x(00)00135-8 · Cited by 355
Mandel, I. D. (1990) · Journal of Oral Pathology & Medicine · doi:10.1111/j.1600-0714.1990.tb00809.x · Cited by 305
The frequency of sicca symptoms and Sjögren's syndrome in patients with systemic sclerosis
Kobak, S., Oksel, F., Aksu, K., & Kabasakal, Y. (2013) · International Journal of Rheumatic Diseases · doi:10.1111/j.1756-185x.2012.01810.x · Cited by 53
Effects of Reduced Saliva Production on Swallowing in Patients with Sjogren’s Syndrome
Rogus-Pulia, N. M., & Logemann, J. A. (2011) · Dysphagia · doi:10.1007/s00455-010-9311-3 · Cited by 38
Metadata
- Authors
- Daniels, T. E.
- Venue
- Arthritis & Rheumatism
- Publisher
- Wiley
- Published
- 1984-02
- Volume
- 27
- Issue
- 2
- Pages
- 147-156
- ISSN
- 0004-3591 (ISSN-L)
- 1529-0131
- OpenAlex
- W1994724205
- Cited by
- 603
- References
- 0
- FWCI
- 13.02
- Type
- journal article
- Language
- en
- Open access
- closed
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