Abstract
Herein, we describe a 44-year-old female diagnosed with histologically proven coexistence of primary Sjögren’s syndrome and sarcoidosis with pulmonary and muscular involvement. The differential diagnosis may be difficult, but this is not an exceptional case, which highlights the need to critically revise the consideration of sarcoidosis as an exclusion for primary Sjögren’s syndrome, as established in current classification criteria.
This is a preview of subscription content, log in via an institution to check access.
References
Hoes JN, Jacobs JW, Boers M et al (2007) EULAR evidence-based recommendations on the management of systemic glucocorticoid therapy in rheumatic diseases. Ann Rheum Dis 66(12):1560–1567
Shiboski SC, Shiboski CH, Criswell L et al (2012) American college of rheumatology classification criteria for Sjogren’s syndrome: a data-driven, expert consensus approach in the Sjogren’s international collaborative clinical alliance cohort. Arthritis Care Res (Hoboken) 64(4):475–487
Vitali C, Bombardieri S, Jonsson R et al (2002) Classification criteria for Sjogren’s syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. Ann Rheum Dis 61(6):554–558
Mansour MJ, Al-Hashimi I, Wright JM (2007) Coexistence of Sjogren’s syndrome and sarcoidosis: a report of five cases. J Oral Pathol Med 36(6):337–341
Gal I, Kovacs J, Zeher M (2000) Case series: coexistence of Sjogren’s syndrome and sarcoidosis. J Rheumatol 27(10):2507–2510
Ramos-Casals M, Brito-Zeron P, Garcia-Carrasco M, Font J (2004) Sarcoidosis or Sjogren syndrome? Clues to defining mimicry or coexistence in 59 cases. Medicine (Baltimore) 83(2):85–95
Travis WD, Galvin JR (2001) Non-neoplastic pulmonary lymphoid lesions. Thorax 56(12):964–971
Hansen SR, Hetta AK, Omdal R (2008) Primary Sjogren’s syndrome and sarcoidosis: coexistence more than by chance? Scand J Rheumatol, pp 485–486
van de Loosdrecht A, Kalk W, Bootsma H, Henselmans JM, Kraan J, Kallenberg CG (2001) Simultaneous presentation of sarcoidosis and Sjogren’s syndrome. Rheumatology (Oxford) 40(1):113–115
Schutt AC, Bullington WM, Judson MA (2010) Pharmacotherapy for pulmonary sarcoidosis: a Delphi consensus study. Respir Med 104(5):717–723
Takemura T, Hiraga Y, Oomichi M et al (1995) Ultrastructural features of alveolitis in sarcoidosis. Am J Respir Crit Care Med 152(1):360–366
Giotaki H, Constantopoulos SH, Papadimitriou CS, Moutsopoulos HM (1986) Labial minor salivary gland biopsy: a highly discriminatory diagnostic method between sarcoidosis and Sjogren’s syndrome. Respiration 50(2):102–107
Marx RE, Hartman KS, Rethman KV (1988) A prospective study comparing incisional labial to incisional parotid biopsies in the detection and confirmation of sarcoidosis, Sjogren’s disease, sialosis and lymphoma. J Rheumatol 15(4):621–629
Le Roux K, Streichenberger N, Vial C et al (2007) Granulomatous myositis: a clinical study of thirteen cases. Muscle Nerve 35(2):171–177
Fayad F, Liote F, Berenbaum F, Orcel P, Bardin T (2006) Muscle involvement in sarcoidosis: a retrospective and followup studies. J Rheumatol 33(1):98–103
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Santiago, T., Santiago, M., Rovisco, J. et al. Coexisting primary Sjögren’s syndrome and sarcoidosis: coincidence, mutually exclusive conditions or syndrome?. Rheumatol Int 34, 1619–1622 (2014). https://doi.org/10.1007/s00296-014-3024-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00296-014-3024-0