Document Detail


Discrimination between Sjögren's and non-Sjögren's sicca syndrome by sialoscintigraphy and antibodies against alpha-fodrin and Ro/La autoantigens.
MedLine Citation:
PMID:  19761691     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Both Sjögren's syndrome (SS) and non-Sjögren's syndrome (NSS) can present with the sicca symptoms of dry eyes and a dry mouth but they are distinct pathological entities that require diagnostic discrimination. This study included 82 sicca syndrome patients and examined the ability of sialoscintigraphy and antibodies against the autoantigens alpha-fodrin, Ro and La to discriminate between SS and NSS. A total of 30.8% of SS patients compared with 58.8% of NSS patients were alpha-fodrin positive. The prevalence of Ro positivity was 69.4% for SS patients compared with 0% for NSS patients. The prevalence of La positivity was 52.4% for SS compared with 0% for NSS patients. Sialoscintigraphy showed that more NSS patients had grade III salivary gland impairment compared with SS patients (64.7% versus 19.4%). These data suggest that using sialoscintigraphy in combination with measuring the levels of serum alpha-fodrin, Ro and La might be useful for SS and NSS discrimination.
Authors:
K-S Chen; M-C Jiang; C-J Li; O-K Liu; C-S S Tsai
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of international medical research     Volume:  37     ISSN:  0300-0605     ISO Abbreviation:  J. Int. Med. Res.     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-09-18     Completed Date:  2009-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0346411     Medline TA:  J Int Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  1088-96     Citation Subset:  IM    
Affiliation:
Department of Allergy, Immunology and Rheumatology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Autoantibodies / immunology*
Autoantigens / analysis,  blood,  immunology
Biological Markers / blood
Carrier Proteins / immunology
Diagnosis, Differential
Female
Humans
Male
Microfilament Proteins / immunology
Middle Aged
Radionuclide Imaging / methods*
Ribonucleoproteins / analysis,  immunology
Salivary Glands / pathology*,  radionuclide imaging
Sjogren's Syndrome / diagnosis*,  immunology
Xerophthalmia / diagnosis*,  immunology
Chemical
Reg. No./Substance:
0/Autoantibodies; 0/Autoantigens; 0/Biological Markers; 0/Carrier Proteins; 0/Microfilament Proteins; 0/Ribonucleoproteins; 0/SS-A antigen; 0/SS-B antigen; 0/fodrin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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