Sjögren's disease & overlap diseases

Hormonal risk factors and androgen and glucocorticoid dysregulation in Sjogren’s disease and non-Sjogren’s sicca

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Participants with SjD were less likely to report hirsutism and had lower androstenedione and testosterone pre-menopause when compared with non-SjD sicca.

Study context

Population
Newly presenting females investigated for Sjögren's disease (SjD) at a multidisciplinary clinicsteroids in 88 SjD and 59 Sicca samples
Participants
184 participants
Exposure
SjD vs non-SjD sicca
  • Healthy controlsn = 165
Outcome
Hormonal risk factors associated with SjD
Methodological detailsmultidisciplinary clinic, hormonal risk factor questionnaire, liquid chromatography tandem mass spectrometry
  • Multidisciplinary clinic
  • Hormonal risk factor questionnaire
  • Liquid chromatography tandem mass spectrometry

Main finding

As reported in the abstract

SjD vs SiccaOdds ratio (95% CI)P value
History of hirsutism; corrected for smoking status, ethnicity, age and symptom duration
0.14(0.04–0.57)
P = 0.006
Hysterectomy up to time of recruitment
3.29(1.19–9.11)
P = 0.02
Hysterectomy up to symptom onset
5.8(1.52–22.1)
P = 0.01

Observational data: associations, not effects.

Further findings

OutcomeAndrostenedione levels (nmol/l)P value
Androstenedione levels by history of hirsutismHirsutism vs No hirsutism2.51 vs 1.80P = 0.03

Androstenedione and testosterone, pre-menopause

Higher in non-SjD sicca than both SjD and healthy controls

Androstenedione vs minor salivary gland focus score (whole cohort)

Inverse correlation, r
−0.44
P
P = 0.03

Glucocorticoids

Lower in both SjD and Sicca vs healthy controls and negatively correlated with symptoms

Original publication

Hormonal risk factors and androgen and glucocorticoid dysregulation in Sjogren’s disease and non-Sjogren’s sicca. Rheumatology (Oxford). Published 22 October 2025. doi:10.1093/rheumatology/keaf546

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