Ankylosing spondylitis coexists with rheumatoid arthritis and Sjögren’s syndrome: a case report with literature review

Zhao, Guo Wang; Huang, Lin; Li, Dian; Zeng, Yan

doi:10.1007/s10067-020-05350-7

Cited by 8 publications

(7 citation statements)

References 12 publications

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“… [24] It was showed that SpA patients with coexisting SS share features, including old age, female, high frequency of positive ANA, and sicca syndrome, and they do not seem to exhibit a more severe spondyloarthropathy. [25] Our results are consistent with these findings; besides, we further found that the clinical characteristics of patients with SS and SAPHO syndrome in not exactly identical to that of the general SS or SAPHO patients.…”

Section: Discussionsupporting

confidence: 91%

Coexistence of Sjögren syndrome in patients with synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome

Wang

Zhang

et al. 2021

Medicine

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To identify the prevalence and clinical characteristics of Sjögren syndrome (SS) in a Chinese single-center cohort of synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome. Patients diagnosed with SS were screened out from a cohort of 164 cases of SAHPO syndrome. Information regarding the patients’ gender, age at onset, clinical features, laboratory tests, bone scintigraphy, and treatment was reviewed. Five patients were screened out. The prevalence of SS in SAPHO patients was 3.05% The mean onset age of SS was 48.0 ± 12.0 years old and no apparent time order in the occurrence of SAPHO and SS was observed. Compared with the general SAPHO cohort, the 5 SS patients exhibited no significant difference in the SAPHO related clinical features or inflammatory markers, except for a higher prevalence of peripheral joints and bones involvement in bone scintigraphy. Objective evidence of dryness and positive salivary gland biopsy were found in all the patients. However, the positive rates of SSA and SSB antibody were only 20%. Anti-inflammatory treatment for SS was recorded in 3 patients (ESSDAI score: 3 in 2 patients; 12 in 1 patient) with extra-glandular manifestations, severe complications or poor response to the basic treatment. The prevalence of SS is higher in the SAPHO cohort than in the general Chinese population. Objective tests or biopsy might be more indicative than the antibody detection for SS diagnosis. Anti-inflammatory treatment should be prescribed in consideration of both the severity of SS and the demand for disease activity control of SAPHO.

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Section: Discussionsupporting

confidence: 91%

Coexistence of Sjögren syndrome in patients with synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome

Wang

Zhang

et al. 2021

Medicine

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“…A presença de teste positivo de Schirmer, gamapatia monoclonal e anticorpos como o anti-SSA/Ro, anti-SSB/La, FAN e FR associados a achados específicos em uma biópsia de glândulas salivares confirmaram a síndrome de Sjögren. Zhao et al (2020) descreveu a coexistência de artrite reumatoide, espondilite anquilosante e síndrome de Sjögren em um mesmo paciente. O doente tinha 65 anos de idade e, desde os 30 anos, sentia fortes dores na região lombar, principalmente à noite, com rigidez articular matinal que durava mais de 1 hora.…”

Section: Resultsunclassified

Síndrome de overlap: uma revisão de literatura da associação entre artrite reumatoide, espondilite anquilosante e síndrome de Sjögren

Macena

Soares

Silva

2021

RSD

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Síndrome de Overlap é o termo utilizado para descrever a associação de duas ou mais doenças – diagnosticadas independentemente – em um mesmo paciente. Neste artigo, os autores realizam uma revisão de literatura das principais publicações científicas acerca da associação entre Artrite Reumatoide, Espondilite Anquilosante e Síndrome de Sjögren em um mesmo paciente. O objetivo do estudo é construir um panorama das evidências disponíveis na literatura científica sobre casos de pacientes portadores desta associação tripla ou de outras associações duplas, como entre artrite reumatoide e espondilite anquilosante ou entre espondilite anquilosante e síndrome de Sjögren. Foram selecionados 16 artigos científicos entre 126 artigos escolhidos inicialmente nas principais bases de dados científicas nacionais e internacionais. Os resultados mostram que as características clínicas, radiológicas e sorológicos de cada doença podem estar presentes de forma parcial ou completa. Esta revisão nos alerta para a importância do estudo de associações pouco usuais devido à escassez de informações relevantes na literatura e, ao mesmo tempo, demonstra que a intervenção terapêutica precoce é essencial para uma melhora da qualidade de vida dos pacientes.

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“…In the present study, we found a strong association between AS and pSS. Several studies, mainly case reports and case series, have also reported an association between AS and pSS (28)(29)(30). Kobak et al conducted a single-center study to evaluate the frequency of pSS in 70 patients with AS in 2002-2003 and found that 10% (7/70) of the patients with AS had concomitant pathologically proven pSS (29).…”

Section: Discussionmentioning

confidence: 99%

Association of the Risk of Primary Sjögren's Syndrome With Fibrocystic Breast Disease: A Nationwide, Population-Based Study

Chen

Lin

et al. 2021

Front. Med.

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Objective: Primary Sjögren's syndrome (pSS) is characterized by exocrine glandular inflammation; however, the association between preceding mammary-gland-inflammation-related diseases and newly diagnosed pSS remains unexplored.Methods: We used the 2003–2013 data retrieved from Taiwan's National Health Insurance Research Database (NHIRD) to conduct the present population-based study. We identified newly diagnosed pSS female patients during the 2001–2013 period, as well as age-matched (1:20) and propensity-score-matched (1:2) non-SS individuals (as controls). We explored the associations between pSS and a history of mastitis and fibrocystic breast disease by determining adjusted odds ratios (aORs) with 95% confidence intervals (CIs) using a conditional logistical regression analysis after controlling for potential confounders.Results: We identified 9,665 patients with pSS and 193,300 age-matched non-SS controls, as well as 9,155 SS cases and 18,310 propensity-score-matched non-SS controls. We found that fibrocystic breast disease (aOR, 1.75; 95% CI, 1.63–1.88) were independently associated with incident SS, whereas mastitis and childbirth-associated breast infections were not associated with incident SS. We also found positive associations between SS and previously reported SS-associated diseases, including cardiovascular diseases, thyroid diseases, pancreatitis, bronchiectasis, infectious diseases, osteoporosis, and ankylosing spondylitis. In the propensity-score-matched populations, the associations between pSS and fibrocystic breast disease (aOR, 1.74; 95% CI, 1.58–1.91) remained consistent.Conclusion: The present population-based study revealed a previously unexplored association between pSS and history of fibrocystic breast disease, and the finding highlights the need to survey pSS in patients with mammary-gland-inflammation-associated diseases.

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Ankylosing spondylitis coexists with rheumatoid arthritis and Sjögren’s syndrome: a case report with literature review

Cited by 8 publications

References 12 publications

Coexistence of Sjögren syndrome in patients with synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome

Coexistence of Sjögren syndrome in patients with synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome

Síndrome de overlap: uma revisão de literatura da associação entre artrite reumatoide, espondilite anquilosante e síndrome de Sjögren

Association of the Risk of Primary Sjögren's Syndrome With Fibrocystic Breast Disease: A Nationwide, Population-Based Study

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