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[干燥综合征。新的诊断要点]

[Sjögren's syndrome. New diagnostic aspects].

作者信息

Haga H J, Rygh T, Jacobsen H, Johannessen A C, Mjanger O, Jonsson R

机构信息

Reumatologisk avdeling, Gades Institutt, Haukeland Sykehus, Bergen.

出版信息

Tidsskr Nor Laegeforen. 1997 Jun 10;117(15):2197-200.

PMID:9235711
Abstract

European criteria for classification of Sjögren's syndrome have recently been developed and evaluated. We report the clinical and laboratory findings in 96 patients with primary Sjögren's syndrome who have been classified according to these new criteria. In our patient population the latency from appearance of the first symptom to diagnosis was 11 years. In addition to sicca symptoms in mucous membranes, the dominant symptoms were periodic fatigue (92%), arthralgia (82%), hoarse voice (71%), dry cough (54%) and diarrhoea (51%). Antibodies to the nuclear antigens SSA and SSB were found in respectively 22.2% and 15.6% of the patients. Two out of ten patients with both anti-SSA and anti-SSB antibodies gave birth to a child with heart block.

摘要

欧洲干燥综合征分类标准最近已制定并进行了评估。我们报告了96例根据这些新标准分类的原发性干燥综合征患者的临床和实验室检查结果。在我们的患者群体中,从首次出现症状到诊断的潜伏期为11年。除了黏膜干燥症状外,主要症状为周期性疲劳(92%)、关节痛(82%)、声音嘶哑(71%)、干咳(54%)和腹泻(51%)。分别有22.2%和15.6%的患者检测到抗核抗原SSA和SSB抗体。在10例同时具有抗SSA和抗SSB抗体的患者中,有2例产下患有心脏传导阻滞的婴儿。

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