Pediatric rheumatology

Results of a Nationwide Multicenter Study in Childhood Sjögren Disease

J RheumatolPublished Retrospective cohort study

Authors' conclusion

The current classification criteria for childhood SjD appear to be inadequate, highlighting the need for pediatric-specific criteria that more accurately reflect the distinct clinical patterns observed in children.

Study context

Population
Patients <18 years with primary Sjögren disease (SjD) in childhood, 21 pediatric rheumatology centres85.2% female
Participants
81 patients
Exposure
Childhood SjD meeting 2016 American College of Rheumatology (ACR)/EULAR criteria vs at risk for childhood SjD
  • Childhood SjDn = 51reference
  • At riskn = 30
Outcome
Demographic and clinical features
Methodological detailsmulticentre, nationwide
  • Multicentre
  • Nationwide

Main finding

As reported in the abstract

Median age at symptom onset

11.4 years

Median follow-up

24 months

Observational data: associations, not effects.

Further findings

OutcomeP value
Dry mouth and peripheral nervous system involvementAt risk vs Childhood SjD · dry mouth higher in at riskP = 0.03
Dry mouth and peripheral nervous system involvementAt risk vs Childhood SjD · peripheral nervous system involvement higher in at riskP = 0.02

Most common clinical findings in the at-risk group

Xerostomia
90%
Arthralgia
56.7%
Fatigue
50%
Dry eyes
43.3%

Original publication

Results of a Nationwide Multicenter Study in Childhood Sjögren Disease. J Rheumatol. Published 15 July 2025. doi:10.3899/jrheum.2024-1048

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