Witte T
Klinik für Immunologie und Rheumatologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland,
Z Rheumatol. 2014 Feb;73(1):49-61. doi: 10.1007/s00393-013-1313-8.
Sjögren's syndrome is an autoimmune disease characterized by lymphocytic infiltration of the tear and salivary glands leading to dryness of the mouth and eyes. The awareness that extraglandular manifestations, such as polyneuropathy, arthritis or recurrent airway infections may indicate Sjögren's syndrome is important. In the diagnostic procedure, the tear and saliva production and antibodies against Sjögren's syndrome A (SS-A) and SS-B should be measured. A salivary gland biopsy should be performed when the diagnosis is not still clear. The therapy of oral and ocular dryness is mainly symptomatic whereas the treatment of extraglandular manifestations is based on experience with treatment of these manifestations in systemic lupus erythematosus (SLE).
干燥综合征是一种自身免疫性疾病,其特征是泪腺和唾液腺出现淋巴细胞浸润,导致口干和眼干。认识到诸如多发性神经病、关节炎或反复呼吸道感染等腺外表现可能提示干燥综合征很重要。在诊断过程中,应测量泪液和唾液分泌量以及抗干燥综合征A(SS-A)和SS-B抗体。当诊断仍不明确时,应进行唾液腺活检。口腔和眼部干燥的治疗主要是对症治疗,而腺外表现的治疗则基于系统性红斑狼疮(SLE)中这些表现的治疗经验。