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Research ArticleArticle

Salivary Gland Ultrasonography as a Diagnostic Tool for Secondary Sjögren Syndrome in Rheumatoid Arthritis

Sunil Das, DoQuyen Huynh, Hong Yang, Arnoldas Ceponis and Arthur Kavanaugh
The Journal of Rheumatology July 2015, 42 (7) 1119-1122; DOI: https://doi.org/10.3899/jrheum.141149
Sunil Das
From the Division of Rheumatology, Allergy, and Immunology, University of California San Diego, La Jolla, California, USA.
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DoQuyen Huynh
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Hong Yang
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Arnoldas Ceponis
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Arthur Kavanaugh
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  • For correspondence: akavanaugh@ucsd.edu Rheum.doc101@gmail.com
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    Figure 1.

    Ultrasound images of parotid and submandibular glands. Normal parotid (upper left) and submandibular gland (bottom left), compared to abnormal parotid (upper right) and submandibular gland (bottom right) with structural changes consistent with Sjögren syndrome. The images on the right show gland inhomogeneity, hypoechoic areas, hyperechoic stranding, and poorly defined borders.

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    Figure 2.

    Mean ultrasound (U/S) score grouped by number of positively answered American European Consensus Group (AECG) sicca questions.

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    Table 1.

    Comparison of those with and without changes on ultrasonography. T test of means used for all statistical tests, except where denoted by *, where Fisher’s exact test was used.

    MeanUS Score < 17, n = 18U/S Score ≥ 17, n = 12p
    Total sicca score1.333.250.009
    % former or current smokers27.841.70.461*
    OHIP score3.1714.750.007
    HAQ score0.821.150.138
    RAPID3 score10.2215.580.013
    ESR33.4421.580.099
    CRP1.430.630.079
    • Significant data are given in bold face. US: ultrasound; OHIP: Oral Health Inventory Profile-14; HAQ: Health Assessment Questionnaire; RAPID3: Routine Assessment of Patient Index Data 3; ESR: erythrocyte sedimentation rate; CRP: C-reactive protein.

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The Journal of Rheumatology
Vol. 42, Issue 7
1 Jul 2015
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Salivary Gland Ultrasonography as a Diagnostic Tool for Secondary Sjögren Syndrome in Rheumatoid Arthritis
Sunil Das, DoQuyen Huynh, Hong Yang, Arnoldas Ceponis, Arthur Kavanaugh
The Journal of Rheumatology Jul 2015, 42 (7) 1119-1122; DOI: 10.3899/jrheum.141149

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Salivary Gland Ultrasonography as a Diagnostic Tool for Secondary Sjögren Syndrome in Rheumatoid Arthritis
Sunil Das, DoQuyen Huynh, Hong Yang, Arnoldas Ceponis, Arthur Kavanaugh
The Journal of Rheumatology Jul 2015, 42 (7) 1119-1122; DOI: 10.3899/jrheum.141149
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Keywords

ULTRASOUND
SJÖGREN SYNDROME
RHEUMATOID ARTHRITIS
DIAGNOSIS

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Keywords

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  • rheumatoid arthritis
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