Pediatric rheumatology

A single-center study of clinical features of pediatric Sjögren’s syndrome

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

Patients with pediatric SS presented with a wide spectrum of clinical features, a low prevalence of reported symptoms of dry mouth and dry eyes, and various clinical manifestations with multi-system involvement.

Study context

Population
Children and adolescents with pediatric Sjögren's syndrome admitted to one hospital, September 2013 to September 2022females:males 49:5
Participants
54 children
Exposure
Primary sjögren's syndrome (SS) vs secondary SS
  • Primary SSn = 34
  • Secondary SSn = 20
Outcome
Clinical features of pediatric SS
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Mean age at symptom onset (years)
9.9
Mean age at diagnosis (years)
10.2
Dry mouth reported
7 cases (13.0%)
Dry eyes reported
5 cases (9.3%)
Schirmer I test positive
9.3%
Salivary gland function test positive
70.4%
Salivary gland US positive
55.6%
Anti-Ro/SSA positive
94.4%
Anti-La/SSB positive
66.7%
ANA positive
88.9%
RF positive
59.3%
IgG elevation
63.0%
Treated with GC
88.9%
Treated with HCQ
92.6%

Observational data: associations, not effects.

Further findings

Classification per Japanese pediatric SS guidance (2018)

Definite SS
5
Probable SS
35
Possible SS
14

Original publication

A single-center study of clinical features of pediatric Sjögren’s syndrome. Pediatr Rheumatol Online J. Published 13 October 2023. doi:10.1186/s12969-023-00902-y

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