Sjögren's disease & overlap diseases

Evaluation of a Practical Approach to Diagnosis of Sjögren Disease in Clinical Practice

J RheumatolPublished Cross-sectional study

Authors' conclusion

SjD could be diagnosed according to 2016 AECC in most patients on the basis of ST, USSF, and serology results where there is concern for the disease on clinical evaluation. Patients who required further testing for diagnosis had some distinctive features.

Study context

Population
Patients evaluated on protocol 1993–2019 at the University Health Network Multidisciplinary Sjogren's Clinic, with complete evaluation incl. serology, ocular surface staining and minor salivary gland (MSG) biopsy
Participants
374 patients
Exposure
Group A vs Group B vs Group C
  • Group An = 263
Outcome
Utility of incorporating the 2016 ACR/EULAR classification criteria (AECC) tools into clinical practice for SjD diagnosis
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

SjD diagnosis by approach

Observational data: associations, not effects.

Further findings

Serology in groups B and C

Groups B and C together frequently seronegative (ANA and/or anti-Ro) or antimitochondrial antibody positive

Positive MSG biopsy in seronegative patients with abnormal Schirmer test (ST) and unstimulated salivary flow (USSF)

Positive MSG biopsy
70%

Original publication

Evaluation of a Practical Approach to Diagnosis of Sjögren Disease in Clinical Practice. J Rheumatol. Published 15 September 2025. doi:10.3899/jrheum.2025-0574

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