Unstimulated whole saliva flow for diagnosis of primary Sjögren’s syndrome: time to revisit the threshold?

Autor: Valentin Lacombe, Carole Lacout, Pierre Lozac’h, Alaa Ghali, Aline Gury, Christian Lavigne, Geoffrey Urbanski
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Arthritis Research & Therapy, Vol 22, Iss 1, Pp 1-9 (2020)
Druh dokumentu: article
ISSN: 1478-6362
DOI: 10.1186/s13075-020-2132-3
Popis: Abstract Background Unstimulated whole saliva (UWS) flow rate is one of the ACR/EULAR 2016 criteria for primary Sjögren’s syndrome (pSS). With a single threshold of ≤ 0.1 mL/min, UWS flow does not take into account the age- and sex-related physiological variations. Furthermore, it has a low sensitivity for the diagnosis of pSS (about 50%), contrary to the screening test for xerophthalmia, Schirmer’s test (sensitivity of about 70%). We aimed to identify UWS thresholds allowing better performances for a screening test for pSS comparable to Schirmer’s test, and considering age- and sex-related variations. Methods A prospective cohort of 185 patients with oral and/or ocular dryness was classified into 3 groups: men, women
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