Reevaluation of laboratory parameters in relation to histological findings in primary and secondary Sjögren's syndrome.
OBJECTIVE
We reevaluated the diagnostic value of laboratory parameters in relation to histopathological findings in Sjögren's syndrome (SS) to clarify whether autoantibodies are useful diagnostic criteria for SS, and whether any laboratory data are useful in estimating the degree of salivary gland change.


METHODS
Laboratory parameters and histopathological findings were analyzed in 96 patients examined by labial biopsy.


RESULTS
The percentage of cases with positive assays of rheumatoid factor and anti-SS-A/Ro antibodies was significantly higher in Definite SS. Patients with dense mononuclear cell infiltration of salivary tissues also had higher titers of rheumatoid factor. No useful laboratory parameters were found for the diagnosis of secondary SS.


CONCLUSIONS
Rheumatoid factor and anti-SS-A/Ro antibodies are useful for the diagnosis of primary SS, and rheumatoid factor is also an indicator of the severity of salivary glandular damage.
Ohara
T
T
Department of Clinical Pathology, Jichi Medical School, Tochigi.
Itoh
Y
Y
Itoh
K
K
D000328:Adult; D001706:Biopsy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012469:Salivary Glands / Q000473:pathology; D012720:Severity of Illness Index; D012859:Sjogren's Syndrome / Q000145:classification / Q000276:immunology / Q000473:pathology*