Dankof A, Morawietz L, Feist E
Institut für Pathologie, Charité Universitätsmedizin, Berlin.
Pathologe. 2006 Nov;27(6):416-21. doi: 10.1007/s00292-006-0869-3.
In the majority of cases, autoimmune sialadenitis is a feature of Sjögren's syndrome. This systemic autoimmune disease is, therefore, clinically characterised by sicca symptoms such as xerostomia and keratoconjunctivitis sicca. Since autoimmune sialadenitis affects major as well as minor salivary glands, histopathological examination is almost always carried out using labial salivary gland biopsies. A positive histopathological result is determined as a focal lymphocytic sialadenitis with at least one aggregate of 50 or more lymphocytes and histiocytes per 4 mm2 of salivary gland tissue. As one out of four objective findings, focus scoring belongs to the classification criteria for Sjögren's syndrome according to the American-European consensus group.
在大多数情况下,自身免疫性涎腺炎是干燥综合征的一个特征。因此,这种系统性自身免疫性疾病的临床特征为口干症和干燥性角结膜炎等干燥症状。由于自身免疫性涎腺炎会影响大唾液腺和小唾液腺,组织病理学检查几乎总是通过唇唾液腺活检来进行。组织病理学检查结果呈阳性被判定为局灶性淋巴细胞性涎腺炎,每4平方毫米唾液腺组织中至少有一处聚集50个或更多淋巴细胞和组织细胞。作为四项客观检查结果之一,灶性评分属于美国-欧洲共识小组制定的干燥综合征分类标准。