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Features of Sjögren's syndrome in patients with primary biliary cirrhosis
Author(s) -
UDDENFELDT P.,
DANIELSSON Å.,
FORSSELL Å.,
HOLM M.,
ÖSTBERG Y.
Publication year - 1991
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1111/j.1365-2796.1991.tb00470.x
Subject(s) - medicine , primary biliary cirrhosis , rose bengal , sicca syndrome , gastroenterology , keratoconjunctivitis sicca , xerophthalmia , sialography , keratoconjunctivitis , dermatology , disease , pathology , vitamin a deficiency , retinol , genetics , vitamin , salivary gland , biology
. Twenty‐six consecutive patients with primary biliary cirrhosis (PBC) from northern Sweden were studied regarding the occurrence and features of Sjögren's syndrome (SS). In more than 50% of the patients the rose bengal dye test showed conjunctival and/or corneal staining. In six patients keratoconjunctivitis sicca (KCS) was present with positive rose bengal and Schirmer tests. In a further three patients only the results of the Schirmer tests were abnormal. Radiological findings of sialectasia were demonstrated in six patients, five of whom had KCS. Two of the seven patients who fulfilled our criteria for Sjögren's syndrome were HLA‐B8 positive. A high prevalence of increased immune globulins and rheumatic factor was found, but this did not correlate with the presence of Sjögren's syndrome. Some features of Sjögren's syndrome were found in 73% of PBC patients, and keratoconjunctivitis sicca and/or sialectasia were found in 27% of PBC patients. This constitutes a high frequency of secondary manifestations of the liver disease.