Sjögren's disease & overlap diseases

Associations of local bone involvement with disease activity, damage and functional disability in Sjögren's disease: A cross-sectional study

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

This study shows a higher prevalence of bone erosions in SjD than previously described, particularly in older, postmenopausal women.

Study context

Population
Female patients with sjögren's disease (SjD) aged 18–65 years meeting ACR/EULAR 2016 criteria, without osteoporosis medication or other bone or autoimmune diseases, quaternary hospital in Brazil368 screened
Participants
106 patients
Outcome
Bone erosions (and osteophytes) on HR-pQCT in 2nd and 3rd MCP and PIP joints and their association with clinical parameters
Methodological detailssingle-centre (quaternary hospital), high-resolution peripheral quantitative computed tomography (HR-pQCT), logistic regression and generalised linear models, July 2022 to October 2023
  • Single-centre (quaternary hospital)
  • HR-pQCT
  • Logistic regression and generalised linear models
  • July 2022 to October 2023

Main finding

As reported in the abstract

Bone erosions on HR-pQCT
Prevalence of bone erosions (predominantly 3rd metacarpal head)
56.7 %
Mean erosion volume
5.71 mm³
Osteophytes
7.2 %
Erosion volume increase per year of age
7 %
Erosion volume, postmenopausal vs premenopausal women (fold increase)
3.54

Observational data: associations, not effects.

Original publication

Associations of local bone involvement with disease activity, damage and functional disability in Sjögren's disease: A cross-sectional study. Semin Arthritis Rheum. Published 30 January 2025. doi:10.1016/j.semarthrit.2025.152644

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