Sjögren's disease & overlap diseases

Diagnostic value of high-frequency ultrasound assessment of the lacrimal glands for primary Sjögren’s disease

RMD OpenPublished Diagnostic accuracy study

Authors' conclusion

LGUS has moderate sensitivity and high specificity for the diagnosis of pSjD.

Study context

Population
Patients with suspected primary Sjögren's disease (pSjD) evaluated by salivary gland ultrasound (SGUS) and LGUS as part of the diagnostic set-up; 13 diagnosed with pSjD by ACR/EULAR classification criteria1 excluded (missing data)
Participants
30 patients
Comparison
Lacrimal gland US vs salivary gland US for diagnosis of pSjD
Outcome
Diagnostic performance of LGUS for pSjD diagnosis (ACR/EULAR classification criteria)

Performance

As reported in the abstract

Diagnostic performance for pSjD
Test or modelSensitivitySpecificityPPVNPV
LGUS61.587.580.073.3

LGUS

Sensitivity61.5
Specificity87.5
PPV80.0
NPV73.3

Further findings

OutcomeEstimateP value
Association of LGUS with autoantibodiesLGUSOR (SSA) 17.4P = 0.005
Association of LGUS with autoantibodiesLGUSOR (SSB) 23.0P = 0.003

Association of LGUS with Schirmer's test positivity

No statistically significant association
p value: 0.86

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Diagnostic value of high-frequency ultrasound assessment of the lacrimal glands for primary Sjögren’s disease. RMD Open. Published 1 July 2025. doi:10.1136/rmdopen-2025-005884

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