Sjögren's disease & overlap diseases

Histopathological comparison of Sjögren-related features between paired labial and parotid salivary gland biopsies of sicca patients

Rheumatology (Oxford)Published Diagnostic cohort study

Authors' conclusion

Labial and parotid glands from SjD patients contain similar histopathological key features, and thus both glands can be used for diagnosis and classification of SjD.

Study context

Population
Patients with sicca complaints suspected of having Sjögren's disease (SjD) (diagnostic cohort)36 SjD, 63 non-SjD
Comparison
Labial vs parotid salivary gland biopsies
Outcome
Focus score and other SjD histopathological features, agreement between paired labial and parotid biopsies
Methodological detailspaired biopsies, simultaneously obtained labial and parotid biopsies, Expert opinion of three experienced rheumatologists for SjD diagnosis
  • Paired biopsies
  • Simultaneously obtained labial and parotid biopsies
  • Expert opinion of three experienced rheumatologists for SjD diagnosis

Performance

As reported in the abstract

Absolute agreement, focus score

80%

Absolute agreement, (pre-)lymphoepithelial lesions (LELs)

93%

Further findings

B-lymphocytes, germinal centres/mm² and LEL severity (SjD patients only)

Labial glands had significantly fewer B-lymphocytes and germinal centres/mm², and less severe LELs vs parotid

Original publication

Histopathological comparison of Sjögren-related features between paired labial and parotid salivary gland biopsies of sicca patients. Rheumatology (Oxford). Published 27 March 2024. doi:10.1093/rheumatology/keae154

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