Scheinfeld Noah
Department of Dermatology, St Lukes Roosevelt Hospital Center, New York, NY, USA.
Dermatol Online J. 2006 Jan 27;12(1):4.
Sjogren syndrome (SS) and systemic lupus erythematosus (SLE) are both collagen vascular diseases that can be accompanied by Ro antibodies. Clinical evidence suggests that they are wholly distinct diseases. SS is strongly linked to lymphoma while lupus is not. SS patients do not commonly exhibit photosensitivity even though anti-Ro antibodies circulate in their blood; SLE patients generally exhibit photosensitivity. SS does not respond to hydroxychloroquine in a reproducible fashion whereas SLE does. SS has not been linked to parvovirus B19, but SLE has. However, SS and SLE do have similarities. Their autoantibody profiles are similar. They effect women more than men and have similar HLA haplotypes and autoantibodies; this is not likely coincidence but it may not clinically relevant.
干燥综合征(SS)和系统性红斑狼疮(SLE)均为可伴有Ro抗体的胶原血管病。临床证据表明它们是完全不同的疾病。SS与淋巴瘤密切相关,而狼疮则不然。SS患者即使血液中循环存在抗Ro抗体,通常也不会出现光敏反应;SLE患者一般会出现光敏反应。SS对羟氯喹不以可重复的方式产生反应,而SLE则会。SS与细小病毒B19无关联,但SLE与细小病毒B19有关联。然而,SS和SLE确实存在相似之处。它们的自身抗体谱相似。它们对女性的影响大于男性,并且具有相似的HLA单倍型和自身抗体;这不太可能是巧合,但可能在临床上并无关联。