Sjögren's disease & overlap diseases

Comparison between primary Sjögren’s disease patients with high or low level of dryness

RMD OpenPublished Cross-sectional study

Authors' conclusion

Among the patients with SjD, those without high subjective or objective dryness features had a younger profile, a faster diagnosis which may result from a more acute onset, were more frequently anti-SSA positive than patients with high dryness features.

Study context

Population
Patients diagnosed with Sjögren's disease (SjD) according to AECG or ACR/EULAR criteria in a tertiary reference centre509 (subjective) and 472 (objective) compared
Participants
456 / 53 / 359 / 113
Exposure
SjD patients with low vs high subjective dryness, and without vs with high objective dryness
  • High subjective drynessn = 456reference
  • Low subjective drynessn = 53
  • High objective drynessn = 359reference
  • Without high objective drynessn = 113
Outcome
Characteristics by subjective dryness level
Methodological detailssingle-centre, tertiary reference centre
  • Single-centre
  • Tertiary reference centre

Main finding

As reported in the abstract

Low subjective dryness
Age, median (IQR), years 49 (39-62) vs 58 (47-67) years; P < 0.01
Low subjective dryness
Median time from first symptoms to diagnosis 2 (0.5-4.5) vs 4 (1-9.25) years; P = 0.0056
Low subjective dryness
Anti-SSA positive 83% vs 64%; P = 0.008
Low subjective dryness
Focal sialadenitis in minor salivary gland biopsy 69% vs 83%; P = 0.02

Observational data: associations, not effects.

Further findings

OutcomeEstimateP value
Characteristics by objective dryness levelWithout high objective dryness vs High objective drynessAge, years 51 (41-60) vs 58 (47-67) yearsP < 0.001
Characteristics by objective dryness levelWithout high objective dryness vs High objective drynessAnti-SSA positive 79% vs 63%P = 0.002

Characteristics by objective dryness level

No difference regarding disease activity

Original publication

Comparison between primary Sjögren’s disease patients with high or low level of dryness. RMD Open. Published 29 October 2023. doi:10.1136/rmdopen-2023-003291

Composed by AI from the published abstract and checked against it. How Briefs are made →

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