Vivino Frederick B
Division of Rheumatology, Penn Presbyterian Medical Center, United States; Penn Sjogren's Syndrome Center, Perelman School of Medicine, University of Pennsylvania, United States.
Clin Immunol. 2017 Sep;182:48-54. doi: 10.1016/j.clim.2017.04.005. Epub 2017 Apr 17.
Sjogren's syndrome (SS) is the 2nd most common chronic autoimmune rheumatic disease and associated with a high burden of illness. Morbidity arises not only from untreated xerostomia and keratoconjunctivitis sicca but also from extra-glandular manifestations including the development of non-Hodgkin's B cell lymphomas. Proper diagnosis of SS requires objective evidence of dry eyes and/or objective evidence of dry mouth as well as proof of autoimmunity. The recent development of new international classification criteria and clinical practice guidelines for SS should not only enhance the existing standards of care but also facilitate further studies to improve future diagnosis and outcomes.
干燥综合征(SS)是第二常见的慢性自身免疫性风湿性疾病,且疾病负担较重。发病不仅源于未经治疗的口干症和干燥性角结膜炎,还源于包括非霍奇金B细胞淋巴瘤发生在内的腺外表现。SS的正确诊断需要干眼的客观证据和/或口干的客观证据以及自身免疫的证据。SS新国际分类标准和临床实践指南的最新制定不仅应提高现有护理标准,还应促进进一步研究以改善未来的诊断和治疗结果。