Sjögren's disease & overlap diseases

Are ultrasound salivary parenchymal lesions more severe in primary Sjögren patients with a longer disease duration? A cross-sectional study

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

pSD duration was associated with the presence of hyperechoic bands, but not with hypoechoic areas, suggesting a progressive fibro-adipose evolution.

Study context

Population
Patients with primary Sjögren's disease (pSD) per 2002 or 2016 ACR/EULAR classification criteriaconsecutively included
Participants
247 patients
Exposure
Disease duration groups from onset of buccal dryness
Outcome
Severity of salivary gland ultrasound (SGUS) parenchymal abnormalities (OMERACT semiquantitative score) in relation to pSD duration
Methodological detailsinternational, multicentre, Included May 2019 to February 2022
  • International
  • Multicentre
  • Included May 2019 to February 2022

Main finding

As reported in the abstract

Pathological OMERACT score (score 2 or 3)

OR for 5-year pSD duration

1.23

95% CI 1.04; 1.47P = 0.038

Observational data: associations, not effects.

Further findings

Hyperechoic bands (25% or more)

OR for 5-year pSD duration
1.18 [95% CI 1.03; 1.36], P = 0.038
  • Independent of an older age
  • Only US item statistically associated with pSD duration

Original publication

Are ultrasound salivary parenchymal lesions more severe in primary Sjögren patients with a longer disease duration? A cross-sectional study. Rheumatology (Oxford). Published 19 December 2024. doi:10.1093/rheumatology/keae690

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