Ultrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary Sjögren’s syndrome

<h4>Purpose</h4> To investigate salivary gland ultrasonography (SGUS) findings in primary Sjögren’s syndrome (pSS) patients positive for the anti-centromere antibody (ACA) and compare these with those in ACA-negative pSS patients. <h4>Methods</h4> We analyzed demographic, cli...

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Autores principales: Hong Ki Min, Se-Hee Kim, Youngjae Park, Kyung-Ann Lee, Seung-Ki Kwok, Sang-Heon Lee, Hae-Rim Kim
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:324f21ddc8f04110a9eff9e8b563bcd22021-11-11T06:44:17ZUltrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary Sjögren’s syndrome1932-6203https://doaj.org/article/324f21ddc8f04110a9eff9e8b563bcd22021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565722/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Purpose</h4> To investigate salivary gland ultrasonography (SGUS) findings in primary Sjögren’s syndrome (pSS) patients positive for the anti-centromere antibody (ACA) and compare these with those in ACA-negative pSS patients. <h4>Methods</h4> We analyzed demographic, clinical, laboratory, and SGUS data of pSS patients who fulfilled the 2002 American-European Consensus Group classification criteria for pSS. SGUS findings of four major salivary glands (bilateral parotid and submandibular glands) were scored in five categories and compared between ACA-positive and ACA-negative pSS patients. Linear regression analysis was performed to elucidate the factors associated with SGUS score. <h4>Results</h4> In total, 121 pSS patients were enrolled (19, ACA-positive). The ACA-positive patients were older (67.0 vs 58.0 years, P = 0.028), whereas anti-Ro/SSA and anti-La/SSB positivity was more prevalent in the ACA-negative group (89.2% vs 21.1%, P < 0.001, and 47.1% vs 10.5%, P = 0.007, respectively). The total SGUS and hypoechoic area scores were lower in ACA-positive patients (16.0 vs 23.0, P = 0.027, and 4.0 vs 7.0, P = 0.004, respectively). In univariate regression analysis, being positive for unstimulated salivary flow rate (USFR < 1.5 ml/15 min), anti-Ro/SSA, and rheumatoid factor were positively associated whereas ACA positivity was negatively associated with the SGUS score. In multivariate regression analysis, being positive for USFR, anti-Ro/SSA, and rheumatoid factor showed significant association with the SGUS score. <h4>Conclusions</h4> ACA-positive pSS patients showed a lower SGUS score than ACA-negative patients, which was especially prominent in the hypoechoic area component.Hong Ki MinSe-Hee KimYoungjae ParkKyung-Ann LeeSeung-Ki KwokSang-Heon LeeHae-Rim KimPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hong Ki Min
Se-Hee Kim
Youngjae Park
Kyung-Ann Lee
Seung-Ki Kwok
Sang-Heon Lee
Hae-Rim Kim
Ultrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary Sjögren’s syndrome
description <h4>Purpose</h4> To investigate salivary gland ultrasonography (SGUS) findings in primary Sjögren’s syndrome (pSS) patients positive for the anti-centromere antibody (ACA) and compare these with those in ACA-negative pSS patients. <h4>Methods</h4> We analyzed demographic, clinical, laboratory, and SGUS data of pSS patients who fulfilled the 2002 American-European Consensus Group classification criteria for pSS. SGUS findings of four major salivary glands (bilateral parotid and submandibular glands) were scored in five categories and compared between ACA-positive and ACA-negative pSS patients. Linear regression analysis was performed to elucidate the factors associated with SGUS score. <h4>Results</h4> In total, 121 pSS patients were enrolled (19, ACA-positive). The ACA-positive patients were older (67.0 vs 58.0 years, P = 0.028), whereas anti-Ro/SSA and anti-La/SSB positivity was more prevalent in the ACA-negative group (89.2% vs 21.1%, P < 0.001, and 47.1% vs 10.5%, P = 0.007, respectively). The total SGUS and hypoechoic area scores were lower in ACA-positive patients (16.0 vs 23.0, P = 0.027, and 4.0 vs 7.0, P = 0.004, respectively). In univariate regression analysis, being positive for unstimulated salivary flow rate (USFR < 1.5 ml/15 min), anti-Ro/SSA, and rheumatoid factor were positively associated whereas ACA positivity was negatively associated with the SGUS score. In multivariate regression analysis, being positive for USFR, anti-Ro/SSA, and rheumatoid factor showed significant association with the SGUS score. <h4>Conclusions</h4> ACA-positive pSS patients showed a lower SGUS score than ACA-negative patients, which was especially prominent in the hypoechoic area component.
format article
author Hong Ki Min
Se-Hee Kim
Youngjae Park
Kyung-Ann Lee
Seung-Ki Kwok
Sang-Heon Lee
Hae-Rim Kim
author_facet Hong Ki Min
Se-Hee Kim
Youngjae Park
Kyung-Ann Lee
Seung-Ki Kwok
Sang-Heon Lee
Hae-Rim Kim
author_sort Hong Ki Min
title Ultrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary Sjögren’s syndrome
title_short Ultrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary Sjögren’s syndrome
title_full Ultrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary Sjögren’s syndrome
title_fullStr Ultrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary Sjögren’s syndrome
title_full_unstemmed Ultrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary Sjögren’s syndrome
title_sort ultrasonographic characteristics of major salivary glands in anti-centromere antibody-positive primary sjögren’s syndrome
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/324f21ddc8f04110a9eff9e8b563bcd2
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