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Sjögren-Type Syndrome After Allogeneic Bone-Marrow Transplantation
Abstract
Four patients, treated for hematologic disorders with bone-marrow transplants from HLA-identical siblings, spontaneously complained of dry eyes 8 to 12 months after transplantation. Four allograft recipients and two recipients of autologous bone-marrow transplants were evaluated for xerophthalmia and xerostomia. Three allogeneic marrow recipients had evidence of keratoconjunctivitis sicca, and two had decreased parotid gland function. All four allograft recipients had minor salivary gland histopathology identical to that of Sjögren's syndrome. The severity of symptoms and histologic lesions corresponded with the severity of chronic graft-versus-host disease. In addition, one patient developed sclerodermatous skin changes, another had discoid lupus erythematosus, and two patients had laboratory evidence of cholestasis. None of the patients had autoantibodies but all had hypergammaglobulinemia. In contrast, none of the recipients of autologous bone marrow had clinical, laboratory, or histologic findings resembling Sjögren's syndrome.
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Cited by
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MOUTSOPOULOS, H. M., CHUSED, T. M., MANN, D. L., KLIPPEL, J. H., FAUCI, A. S., FRANK, M. M., LAWLEY, T. J., & HAMBURGER, M. I. (1980) · Annals of Internal Medicine · doi:10.7326/0003-4819-92-2-212 · Cited by 511
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Fox, R. I., Howell, F. V., Bone, R. C., & Michelson, P. E. (1984) · Seminars in Arthritis and Rheumatism · doi:10.1016/0049-0172(84)90001-5 · Cited by 360
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Metadata
- Authors
- GRATWHOL, A. A., MOUTSOPOULOS, H. M., CHUSED, T. M., AKIZUKI, M., WOLF, R. O., SWEET, J. B., & DEISSEROTH, A. B.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1977-12-01
- Volume
- 87
- Issue
- 6
- Pages
- 703-706
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2093060974
- Cited by
- 214
- References
- 0
- FWCI
- 8.60
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Sjögren-Type Syndrome After Allogeneic Bone-Marrow Transplantation. https://app.cochat.ai/papers/10.7326/0003-4819-87-6-703
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- GRATWHOL, A. A., MOUTSOPOULOS, H. M., CHUSED, T. M., AKIZUKI, M., WOLF, R. O., SWEET, J. B., & DEISSEROTH, A. B. (1977). Sjögren-Type Syndrome After Allogeneic Bone-Marrow Transplantation. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-87-6-703
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