Abstract
Sjögren’s syndrome (SS) is a systemic autoimmune disorder characterized by lymphocytic infiltration of the exocrine glands, especially the salivary and lacrimal glands, resulting in dry mouth and eyes. However, in most patients, the syndrome extends beyond the exocrine glands affecting parenchymal organs and small-sized arteries producing various extraglandular manifestations. The disease is common, with a prevalence ranging between 0.1% and 0.5% of the general population. Clinical, histopathological, and molecular data highlighted the central role of tissue epithelia in the pathogenesis of SS, justifying the etiologic term “autoimmune epithelitis” for the syndrome. The B cell component plays an important role in the pathogenic process by mediating systemic vasculitic manifestations and may evolve into non-Hodgkin’s lymphomas. In the current chapter, the recent pathogenetic aspects, the clinical picture with emphasis on skin involvement and the treatment modalities are being discussed.
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Christodoulou MI, Kapsogeorgou EK, Moutsopoulos HM. Characteristics of the minor salivary gland infiltrates in Sjögren’s syndrome. J Autoimmun. 2010;34:400–7.
Dafni UG, Tzioufas AG, Staikos P, Skopouli FN, Moutsopoulos HM. Prevalence of Sjögren’s syndrome in a closed rural community. Ann Rheum Dis. 1997;56:521–5.
Goules AV, Tzioufas AG. Primary Sjӧgren’s syndrome: clinical phenotypes, outcome and the development of biomarkers. Autoimmun Rev. 2016;15(7):695–703.
Goules AV, Tzioufas AG. Lymphomagenesis in Sjögren’s syndrome: predictive biomarkers towards precision medicine. Autoimmun Rev. 2019;18(2):137–43.
Hall JC, Casciola-Rosen L, Berger AE, et al. Precise probes of type II interferon activity define the origin of interferon signatures in target tissues in rheumatic diseases. Proc Natl Acad Sci U S A. 2012;109:17609–14.
Mavragani CP, Moutsopoulos HM. The geoepidemiology of Sjögren’s syndrome. Autoimmun Rev. 2010;9:A305–10.
Moutsopoulos HM. Sjögren’s syndrome: autoimmune epithelitis. Clin Immunol Immunopathol. 1994;72:162–5.
Pavlakis PP, Alexopoulos H, Kosmidis ML, Stamboulis E, Routsias JG, Tzartos SJ, Tzioufas AG, Moutsopoulos HM, Dalakas MC. Peripheral neuropathies in Sjögren’s syndrome: a new reappraisal. J Neurol Neurosurg Psychiatry. 2011;82:798–802.
Ramos-Casals M, Brito-Zerón P, Sisó-Almirall A, Bosch X, Tzioufas AG. Topical and systemic medications for the treatment of primary Sjögren’s syndrome. Nat Rev Rheumatol. 2012;8:399–411.
Skopouli FN, Dafni U, Ioannidis JP, Moutsopoulos HM. Clinical evolution, and morbidity and mortality of primary Sjögren’s syndrome. Semin Arthritis Rheum. 2000;29(5):296–304.
Triantafyllopoulou A, Moutsopoulos H. Persistent viral infection in primary Sjögren’s syndrome: review and perspectives. Clin Rev Allergy Immunol. 2007;32:210–4.
Tzioufas AG, Moutsopoulos HM. Ultrasonography of salivary glands: an evolving approach for the diagnosis of Sjögren’s syndrome. Nat Clin Pract Rheumatol. 2008;4:454–5.
Tzioufas AG, Kapsogeorgou EK, Moutsopoulos HM. Pathogenesis of Sjögren’s syndrome: what we know and what we should learn. J Autoimmun. 2012;39(1–2):4–8.
Voulgarelis M, Giannouli S, Tzioufas AG, Moutsopoulos HM. Long term remission of Sjögren’s syndrome associated aggressive B cell non-Hodgkin’s lymphomas following combined B cell depletion therapy and CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone). Ann Rheum Dis. 2006;65:1033–7.
Voulgarelis M, Tzioufas AG, Moutsopoulos HM. Mortality in Sjögren’s syndrome. Clin Exp Rheumatol. 2008;26(5 Suppl 51):S66–71.
Voulgarelis M, Ziakas PD, Papageorgiou A, Baimpa E, Tzioufas AG, Moutsopoulos HM. Prognosis and outcome of non-Hodgkin lymphoma in primary Sjögren syndrome. Medicine (Baltimore). 2012;91:1–9.
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Goules, A.V., Chatzis, L., Tzioufas, A.G. (2023). Sjögren’s Syndrome. In: Katsambas, A.D., Lotti, T.M., Dessinioti, C., D'Erme, A.M. (eds) European Handbook of Dermatological Treatments. Springer, Cham. https://doi.org/10.1007/978-3-031-15130-9_88
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DOI: https://doi.org/10.1007/978-3-031-15130-9_88
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