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Sjögren syndrome Radiology

Sjögren syndrome (thoracic manifestations) Radiology

nonspecific interstitial pneumonia (NSIP) is the most common pattern associated with Sjögren syndrome 1. areas of ground-glass attenuation; septal thickening; traction bronchiectasis; lung volume loss; cryptogenic organizing pneumonia (COP) usual interstitial pneumonia (UIP) lymphoproliferative disorder Sjögren's syndrome, or sicca syndrome, is a disorder of the immune system that is largely defined by its two most common symptoms—dry eyes and a dry mouth; these symptoms frequently accompany other autoimmune disorders. Distinction is usually made between Sjögren's syndrome that occurs in the absence of an accompanying connective tissue disease. Ultrasound and MRI features are characteristic of Sjögren syndrome. Follow-up is mandatory in such case due to the high risk of developing a malignant lymphom

Sjögren-Larsson syndrome is caused by mutations in the FALDH gene, also known as the ALDH3A2 gene, located on chromosome 17p11.2 1,3. These mutations have an autosomal recessive mode of inheritance 1,2. The FALDH gene encodes for fatty aldehyde dehydrogenase (FALDH) 1-3 Sjögren's syndrome is a specific clinical entity that consists of three major components: (1) keratoconjunctivitis sicca caused by lesions in the lacrimal glands, (2) xerostomia with or without salivary gland enlargement that results from damage to the salivary and mucous glands of the oral cavity, and (3) connective tissue disease of which the most common is rheumatoid arthritis

Sjögren syndrome (SS) is a chronic autoimmune disorder characterized by inflammatory destruction of the body's exocrine glands and may be considered primary or secondary, in association with other autoimmune disorders, such as collagen vascular diseases. Although SS can present with a variety of symptoms, both glandular and extraglandular, initial. Sjögren syndrome: presenting with bilateral lacrimal gland masses. Final diagnosis. Biopsy, left lacrimal gland. Reactive lymphoid hyperplasia, consistent with Sjögren syndrome. Microscopic description. The left lacrimal gland biopsy shows a heavy lymphoid infiltrate with destruction of the acini and preservation of ducts Presentation. Long-standing rheumatoid arthritis and Sjögren syndrome. MRI prescribed for enlarged left supraclavicular nodes Sjögren syndrome is characterized by lymphocytic infiltration of the exocrine glands, which results in dry mouth and eyes. It may occur either in isolation (primary Sjögren syndrome) or as a complication of other autoimmune diseases (secondary Sjögren syndrome) (1-3). Various systemic extraglanduler disorders may occur in patients with primary Sjögren syndrome; the thorax is a commonly affected site monary manifestations of primary Sjögren syndrome may be categorized as airway abnormalities, interstitial pneumonias, and lymphoproliferative disorders; in each category, bronchiectasis or centrilobular nodules, non- specific interstitial pneumonia, and lymphoid interstitial pneumonia ar

Sjögren Syndrome Radiology Ke

  1. Primary Sjögren syndrome is an immune-mediated exocrinopathy characterized by lymphoplasmacytic infiltration of the salivary and lacrimal glands. Various systemic extraglandular disorders are associated with primary Sjögren syndrome, and the thorax is commonly affected
  2. ed with MR sialography and conventional sialography
  3. Sjögren syndrome is a systemic chronic inflammatory disorder characterized by lymphocytic infiltrates in exocrine organs. Most individuals with Sjögren syndrome present with sicca symptoms, such as..
  4. Depending on the degree of acinar filling, abnormal retention is of relative diagnostic value. Dilatation of Stenson's duct is not a feature in Sjögren's syndrome but in obstructive or inflammatory conditions whose features are the opposite of the peripheral changes in the syndrome. However, suppression of small-duct filling is sometimes seen
  5. ation of an excised gland in one of the patients with Sjögren syndrome demonstrated typical benign lymphoepithelial aggregates, which cause obstruction and progressive ductal dilatation
  6. Marinesco-Sjögren syndrome (MSS) (MIM 248800) is a rare autosomal recessive disorder characterized by bilateral cataracts, cerebellar ataxia, developmental delay, and nonprogressive mental retardation (1, 2).Additional features include a short stature; hypogonadism; skeletal deformities; and variable neuromuscular manifestations, such as myopathy (3-5) and motor and sensory neuropathy (6, 7)
  7. (1)IRCCS Foundation, San Matteo Medical Center, Institute of Radiology, University of Pavia, Italy. Sjögren syndrome is a systemic autoimmune disorder that affects the exocrine glands. The authors present the case of a 50-year-old woman diagnosed with this syndrome on the basis of clinical and serological findings

Sjögren syndrome Radiology Case Radiopaedia

Comment in Radiology. 2006 Oct;241(1):320-1; author reply 321. PURPOSE: To evaluate prospectively the use of magnetic resonance (MR) imaging for differentiating true rheumatoid arthritis (RA) from systemic lupus erythematosus (SLE) or primary Sjögren syndrome in patients who have inflammatory polyarthralgia of the hands but no radiographic evidence of RA Primary Sjögren's syndrome (pSS) is a systemic autoimmune disorder characterized by diffuse lymphocytic infiltration of epithelia. Involvement of salivary and lachrymal glands and their clinical counterparts, xerostomia and xerophthalmia, are the key clinical hallmarks [ Sjogren syndrome: comparison of assessments with MR sialography and conventional sialography. Radiology 1998 Dec;209(3):683-8. (PMID: 9844659) [2] Tonami H, Ogawa Y, Matoba M, Kuginuki Y, Yokota H, Higashi K, Okimura T, Yamamoto I, Sugai S. MR sialography in patients with Sjogren syndrome

Sjogren's syndrome (SS) is a systemic connective tissue disease characterized by a progressive immune-mediated impairment of the exocrine glands. The high prevalence in the general population of sicca and other symptoms mimicking SS has increased the need for accurate tools in its diagnosis. Imaging may be substantially helpful in this regard, a Sjögren Syndrome-associated ILD Treated With Immunosuppression. Clinical Case March 30, 2021. The case of a 39-year-old woman with Sjögren syndrome and clinically relevant pulmonary involvement. How Sjogren Syndrome Intersects With COVID-19. Commentary December 24, 2020 Epidemiology of Sjögren's syndrome. Sjögren's syndrome is the second most common autoimmune disease after rheumatoid arthritis. Incidence has recently been estimated at between 3.9 and 5.3 cases per 100 000 person-years in Europe [].Population-based and sample-based studies estimate its prevalence at 43 and 282 per 100 000 inhabitants respectively, the former probably being more. To determine the value of sonography of the parotid gland in patients with Sjögren syndrome, six consecutive cases were retrospectively reviewed in which clinical findings indicated Sjögren syndrome. All patients were women. Two patients were found at sonography to have normal parotid glands

Sjögren's syndrome (SjS, SS) is a long-term autoimmune disease that affects the body's moisture-producing (lacrimal and salivary) glands, and often seriously affects other organs systems, such as the lungs, kidneys, and nervous system. Primary symptoms are dryness (dry mouth and dry eyes), pain and fatigue.Other symptoms can include dry skin, vaginal dryness, a chronic cough, numbness in the. Sjögren's syndrome is a systemic autoimmune disorder that affects the exocrine along with other organs. The disease is most common in women (9:1) between 40 and 60 years of age. The reported incidence is 1 in 225 individuals. The nomenclature associated with Sjögren's syndrome is often confusing; we will attempt to clarify this terminology A Rabinov catheter was used to cannulate the left parotid duct orifice. Omnipaque contrast was injected. No calculus identified radiographically on the preliminary images Sjögren syndrome Radiology Reference Article . Background: Cystic lung disease can be seen in patients with Sjögren's syndrome (SS) and is generally thought to be due to lymphocytic interstitial pneumonia. Methods: Using computer-assisted search we identified patients with primary SS seen at Mayo Clinic, Rochester, MN during a 14-year period. Differences in brain volume between patients with primary Sjögren syndrome and controls were studied by application of voxel-based morphometry to a 3D T1-weighted sequence. RESULTS. WMHIs were observed in 38 of the 53 patients with primary Sjögren syndrome, six of 18 patients with systemic sclerosis, and 17 of 35 controls

1.. IntroductionSjögren's syndrome, known as the triad of dry eyes, dry mouth, and arthritis , is a chronic inflammatory autoimmune disorder characterized by infiltration of the exocrine glands by immunglobulin-producing lymphocytes .Affecting mainly women, the prevalence ranges similar to that of rheumatoid arthritis between 1 and 3% , .The term primary Sjögren's syndrome (PSS. Sjögren syndrome: A case report. Dellafiore C (1), Villa A, Zibera F. Author information: (1)IRCCS Foundation, San Matteo Medical Center, Institute of Radiology, University of Pavia, Italy. Sjögren syndrome is a systemic autoimmune disorder that affects the exocrine glands. The authors present the case of a 50-year-old woman diagnosed with.

Sjögren-Larsson syndrome: clinical and MRI/MRS findings in FALDH-deficient patients. van Domburg PH(1), Willemsen MA, Rotteveel JJ, de Jong JG, Thijssen HO, Heerschap A, Cruysberg JR, Wanders RJ, Gabreëls FJ, Steijlen PM. Author information: (1)Department of Neurology, Laurentius Hospital, Roermond, The Netherlands Objective: This report aimed to evaluate the effectiveness of high-resolution ultrasound compared with conventional sialography in the diagnosis of Sjögren's syndrome (SS) and to establish whether less invasive ultrasound could replace sialography as a diagnostic investigation. Method: Clinical records and examination results of 105 consecutive subjects investigated contemporaneously by. Background: Pulmonary manifestations (PMs) in primary Sjögren's syndrome (pSS) are among the most frequent extraglandular complications, with reported prevalence varying widely (9-75%), depending on the methods of detection. Objectives: The aim of this study was to assess the incidence of PMs in pSS and to determine the factors predisposing to the occurrence of this complication

Sjögren-Larsson syndrome Radiology Reference Article

Sialographic abnormalities in Sjögren's syndrome, rheumatoid arthritis, and other arthritides and connective tissue diseases: a clinical and radiological investigation using hydrostatic sialography Clin Radiol , 23 ( 1972 ) , pp. 474 - 48 ABSTRACT : Our purpose was to investigate the MR features of the lacrimal glands in patients with Sjögren's syndrome. Using MR imaging, we examined 58 lacrimal glands in 29 women with Sjögren's syndrome and 150 lacrimal glands in 75 female control subjects The aim of this study is to demonstrate the different ultrasound appearances of the salivary glands in Sjögren's syndrome, and discuss the differential diagnosis. A reticulated appearance of the salivary and lacrimal glands in Sjögren's syndrome was also demonstrated which, to our knowledge, has not been previously described

Sjögren syndrome (probable) | Image | Radiopaedia

Patients with Sjögren syndrome often present with several pulmonary manifestations, highlighting the need for a multidisciplinary approach to caring for those with pulmonary complications, according to practice guidelines published in Chest. For this patient population, the multidisciplinary team might include a rheumatologist, primary care physician, pulmonologist, pathologist, radiologist. PURPOSE The purpose of this study was to evaluate the effectiveness of MR sialography of the parotid gland ducts in the diagnosis and staging of Sjögren syndrome. METHODS MR imaging was performed on a 1.5-T unit with a neck phased-array coil. MR sialographic source images were obtained using a heavily T2-weighted fast spin-echo sequence with spectral fat suppression 1. Radiology. 2005 Aug;236(2):593-600. Epub 2005 Jun 21. MR imaging findings in hands in early rheumatoid arthritis: comparison with those in systemic lupus erythematosus and primary Sjögren syndrome. Boutry N(1), Hachulla E, Flipo RM, Cortet B, Cotten A Journal of Clinical Medicine Review Imaging in Primary Sjögren's Syndrome Martha S. van Ginkel 1,* , Andor W.J.M. Glaudemans 2, Bert van der Vegt 3, Esther Mossel 1, Frans G.M. Kroese 1, Hendrika Bootsma 1 and Arjan Vissink 4,* 1 Department of Rheumatology and Clinical Immunology, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands; e.mossel@umcg. SUMMARY: Brain MR imaging abnormalities in primary Sjögren syndrome (pSS) are generally discrete white matter lesions. We describe a 50-year-old woman with recurrent neurologic deficits. MR imaging revealed a large brain lesion. A diagnosis of pSS was made on the basis of clinical features, positive anti-Ro and anti-La antibodies, abnormal Schirmer test findings, and salivary gland scintigraphy

An atypical pulmonary presentation of Sjögren’s Syndrome

The aim of this study was to analyse and compare the chest radiographic and CT findings in patients with primary and secondary Sjögren's syndrome. We retrospectively evaluated the frequency of abnormality and findings of both the chest radiography (n=107) and CT (n=59) in patients with Sjögren's syndrome. Abnormal cases were classified into. Sjögren's syndrome is a chronic autoimmune disease that affects many individuals within the community. Despite this, its exact aetiology and pathogenesis is still unclear. Sjögren's syndrome. Sjögren syndrome is a systemic chronic inflammatory disorder characterized by lymphocytic infiltrates in exocrine organs. Most individuals with Sjögren syndrome present with sicca symptoms, such as xerophthalmia (dry eyes), xerostomia (dry mouth), and parotid gland enlargement, which is seen in the image below

Primary Sjögren syndrome (pSS) has been associated with various histologic patterns of interstitial lung disease (ILD). Methods We retrospectively identified 18 patients with pSS and suspected ILD who underwent lung biopsies (14 surgical biopsies and 9 bronchoscopic biopsies) at our institution during a 13-year period from 1992 through 2004 Primary Sjögren's syndrome (pSS) is a chronic autoimmune disorder characterized by lymphocytic infiltration of salivary and lacrimal glands, resulting in severe sicca symptoms. pSS patients may also present with extraglandular features. A rare case of mesenteric panniculitis in a patient with pSS will be presented here. 2. Case Presentatio Conventionally, minor salivary gland biopsy and X-ray sialography have been considered the cornerstones of the diagnosis of Sjögren's syndrome (SS) [1- 3].However, they are both invasive examinations that may cause inconvenience and a risk of complications to the patient [1, 4, 5], and therefore new, reliable, non-invasive methods for the detection of diagnostic glandular changes are sought Sjögren's syndrome is an autoimmune disease and is characterized by lymphocytic infiltration in exocrine glands such as the salivary and lacrimal glands, resulting in dry mouth and dry eyes ().Characteristic features of minor salivary gland parenchyma include lymphocyte infiltration, disappearance of acinus, and fibrosis ().In most cases, the diagnosis of Sjögren's syndrome is made. Sjögren syndrome mimic those of other medical conditions such as xerostomia due to diabetes mellitus, psychotropic Three-dimensional cone-beam computed tomographic sialography in the diagnosis and management of primary Sjögren syndrome: Report of 3 cases Nithin Thomas 1, Aninditya Kaur 2, Sujatha S. Reddy 3, Rakesh Nagaraju 3,*, Ravleen Nagi 4

Sjögren's Syndrome Radiology Ke

Sjögren's syndrome is a chronic, autoimmune disease that causes dryness of the eyes, mouth and other body parts. In an autoimmune disease, the immune system mistakenly attacks healthy tissue, causing inflammation in the body and leading to the destruction of tissue. In Sjögren's syndrome, the infection-fighting cells of the immune system. To explore the role of diffusion kurtosis imaging (DKI) of parotid glands in diagnosing Sjögren's syndrome (SS). Materials and Methods A total of 40 patients with SS and 40 healthy volunteers underwent 3.0T magnetic resonance imaging (MRI) including DKI, which generated the apparent diffusion coefficient (ADC), corrected diffusion (D), and.

This test checks for antibodies that are a sign of Sjogren syndrome, an autoimmune disease that makes it hard for your glands to produce enough moisture. Sjogren Antibody (Blood) Skip to topic navigatio Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Parotid Sjögren Syndrome Sjögren's syndrome is a systemic autoimmune disease defined by its targeted inflammation of the salivary and lacrimal glands, resulting in dry mouth and eyes in the majority and persistent or. Abstract. Sjögren syndrome is a chronic autoimmune disease associated with the production of autoantibodies and characterized by a progressive lymphocytic and plasma cell infiltration of the salivary and lacrimal glands leading to xerostomia and keratoconjunctivitis sicca (Fox et al. 1984).Sjögren syndrome may be primary or associated with another autoimmune disease, most frequently.

CT Findings of Thoracic Manifestations of Primary Sjögren

Sjögren syndrome: comparison of assessments with MR

Radiology. 2008 Mar. 246(3) Sjögren syndrome is most common in patients with rheumatoid arthritis but may also occur without associated disease and in systemic lupus erythematosus. Primary Sjögren's syndrome is a chronic autoimmune disease in which the immune system mistakenly attacks glands that produce secretions, mainly the salivary and lacrimal (tear) glands. But it also can affect other tissues, including the lungs, brain, kidneys, and gastrointestinal tract Primary Sjögren's syndrome (pSS) is a chronic, systemic, autoimmune disease characterized by dry mouth and dry eyes. As a heterogeneous systemic disease, many patients su er from extraglandular symptoms, and almost all organs can be involved [1]. Because of the heterogeneity of the disease, Radiology Techniques 4.1. Sialograph

Sjogren Syndrome: Practice Essentials, Etiology, Epidemiolog

Quantitative Analysis of Parotid Gland Secretion Function in Sjögren's Syndrome Patients with Dynamic Magnetic Resonance Sialography Simin Liu, MD, 1 Weiwei Chen, MD, PhD, 1 Min Wang, MD, 1 Tong Wu, BS, 2 Lingli Dong, MD, PhD, 2 Chu Pan, MD, PhD, 1 and Wenzhen Zhu, MD, PhD 1: 1 Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology. Primary Sjögren syndrome is an immune-mediated exocrinopathy characterized by lymphoplasmacytic infiltration of the salivary and lacrimal glands. 1 From the Department of Radiology, Faculty. Sjögren-Larsson syndrome (SLS) is a rare disorder with autosomal recessive inheritance. Its clinical, pathological, genetic, and biochemical manifestations have been thoroughly evaluated, but there is little imaging data, especially regarding MRI. We present brain MRI of three siblings with SLS and discuss our findings This study investigated the effects of 1 year of training on imaging diagnosis, using static ultrasonography (US) salivary gland images of Sjögren syndrome patients. Materials and Methods This study involved 3 inexperienced radiologists with different levels of experience, who received training 1 or 2 days a week under the supervision of.

Parotid Sialography in Sjögren's Syndrome Radiolog

Parotid gland: US findings in Sjögren syndrome

  1. Sjogren's syndrome is an autoimmune disease characterized by exocrine gland destruction and manifested by parotid, submandibular and lacrimal gland infection. We report a case with recurrent severe parotid gland infections. The sialographic and CT findings are presented
  2. Different cerebral functional segregation in Sjogren's syndrome with or without systemic lupus erythematosus revealed by amplitude of low-frequency fluctuation Show all authors. Xiao-Dong Zhang 1. Xiao-Dong Zhang . Department of Radiology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, PR China View ORCID profil
  3. To evaluate the diagnostic accuracy of computed tomography (CT) of the parotid gland for Sjögren's syndrome in comparison with conventional X-ray sialography. Methods CT scans and X-ray sialography were performed in 34 patients with confirmed Sjögren's syndrome and 22 symptomatic controls without the disease
  4. Introduction. Sjögren's syndrome (SjS) is an autoimmune disease that has dry eyes and a dry mouth as the main signs. Regarding the dry mouth, the amount of salivary secretion is reduced as result of the occurrence of steatosis in the salivary gland parenchyma. 1,2 This condition can be detected using CT or MRI, which is effective for detecting SjS. 3-5 In our past study, 6 we compared the.

MR Imaging Features in Marinesco-Sjögren Syndrome: Severe

Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Sjögren Syndrome. link. Bookmarks (0) Ultrasound. Diagnosis. Head and Neck. Salivary Glands. General Lesions. Sjögren Syndrome Sjögren syndrome is usually a non-Hodgkin lymphoma (NHL); most are marginal-zone B-cell lymphomas. Th e prevalence of NHL in Sjögren syndrome is about 4%. 11 At 5 years of follow-up, the patient was concerned about the gradually progressing asymmetric appear-ance of the parotid glands (the right gland was slightly larger)

Introduction. Sjögren's syndrome (SS), also known as 'autoimmune exocrinopathy' [] or 'autoimmune epithelitis' [], is a chronic inflammatory disease that primarily affects females.It is characterized clinically by dry eyes (keratoconjunctivitis sicca) and dry mouth (xerostomia) and histologically by lymphocytic infiltration and destruction of the salivary and lachrymal glands [] Sjögren syndrome is an autoimmune disorder in which immune cells attack and destroy the glands that produce tears and saliva. Sjögren syndrome is also associated with rheumatic disorders such as rheumatoid arthritis or systemic lupus erythematosus.The hallmark symptoms of Sjögren syndrome are dry mouth and dry eyes Alfonso Massara, Sara Bonazza, Gabriella Castellino, Luisa Caniatti, Francesco Trotta, Massimo Borrelli, Luciano Feggi, Marcello Govoni, Central nervous system involvement in Sjögren's syndrome: unusual, but not unremarkable—clinical, serological characteristics and outcomes in a large cohort of Italian patients, Rheumatology, Volume 49. Primary Sjögren's syndrome is a sporadic disease with a global prevalence of 61 per 100,000 people with peak incidence in Europe and a total prevalence of 0.4% for primary and secondary Sjögren's syndrome. 1 Sjögren's syndrome is an autoimmune disease affecting many systems in the body, resulting in lymphocytic infiltration of salivary.

Sjögren syndrome | Image | Radiopaedia

Sjogren'ssyndrome may be primary or secondary. On examination, parotid glad appears soft and swollen. Radiological imaging shows enlarged gland with multiple internal cystic areas. Histological examination of gland shows lymphocytic infiltration. Keywords: Sjogren's syndrome, Sialography, Parotid enlargement . 1.Summar Primary Sjogren syndrome (pSS) is a systemic autoimmune disease characterised by lymphocytic infiltration of exocrine glands and by a number of systemic manifestations, including those regarding the lung. Pulmonary involvement in pSS includes interstitial lung disease (ILD) and airway disease, together with lymphoproliferative disorders. Patients with pSS-ILD report impaired health-related.

Sjögren syndrome is an autoimmune disorder in which the glands that produce tears and saliva are destroyed. This causes dry mouth and dry eyes. The condition may affect other parts of the body, including the kidneys and lungs The risk reduction for Sjögren's syndrome among the sicca controls was progressive, with odds ratios of 0.81 (95% CI 0.67-0.99) for those with a composite estrogen score of 1 and 0.74 (95% CI 0. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Sjögren Syndrome. link. Bookmarks (0) Chest. Diagnosis. Connective Tissue Disorders, Immunological Diseases, and Vasculitis. Immunological and Connective Tissue Disorders Sjögren patients often experience pulmonary symptoms, highlighting the need for a nuanced approach to caring for these individuals, according to new guidelines in the journal Chest. For this patient population, the multidisciplinary team might include a rheumatologist, primary care physician, pulmonologist, pathologist, radiologist, and, when necessary, an oncologist Sjögren syndrome is a chronic inflammatory multisystem autoimmune exocrinopathy that can occur in isolation (primary Sjögren) or in combination with other rheumatologic conditions, such as rheumatoid arthritis, systemic lupus erythematosus, or systemic sclerosis (secondary Sjögren) ().The estimated prevalence of interstitial lung disease in Sjögren syndrome is variably reported as 9 to 90%.

Pulmonary manifestations of Sjögren's syndrome | European

Montpellier, France: Primary Sjogren's syndrome (pSS) patients are at increased risk of cardiovascular (CV) morbidity as compared with the general population, according to a meta-analysis published in the journal Arthritis Care & Research. Primary Sjogren's syndrome is a chronic autoimmune disease with a prevalence of 6.8/10000. It is characterized by lymphocytic infiltration of the exocrine. Peripheral sialectasis was found in 59 (94%) of 63 cases of Sjögren's syndrome; cylindrical peripheral sialectasis was the most prevalent pattern. Depending on the degree of acinar filling, abnormal retention is of relative diagnostic value. Dilatation of Stenson's duct is not a feature in Sjögren's syndrome but in obstructive or inflammatory conditions whose features are the opposite of the. The Sjögren's Book, Fourth Edition is a comprehensive and authoritative guide, produced by the Sjögren's Syndrome Foundation and its medical advisors and edited by physician Daniel J. Wallace, a leading authority on autoimmune disorders. This expanded edition provides readers with the best medical and practical information on this. Yoong JK, Li-Ching C, Quek R, et al.: Cardiac lymphoma in primary Sjögren syndrome: a novel case established by targeted imaging and pericardial window. J Thorac Cardiovasc Surg. 2007, 134:513-514. 10.1016/j.jtcvs.2007.04.034; Kassan SS, Moutsopoulos HM: Clinical manifestations and early diagnosis of sjögren syndrome. Arch Intern Med. 2004. Sjögren's syndrome (SS) is a chronic inflammatory disorder characterized by diminished lacrimal and salivary gland function and associated with lymphocytic infiltration of exocrine glands, especially the lacrimal and salivary glands. Respiratory complications of SS include airway mucosal dryness (also known as xerotrachea), a variety of.

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