THE DIAGNOSTIC-VALUE OF SALIVARY FLUID LEVELS OF BETA-2-MICROGLOBULIN, LYSOZYME AND LACTOFERRIN FOR PRIMARY SJOGRENS-SYNDROME

被引:11
作者
MARKUSSE, HM
OTTEN, HG
VROOM, TM
SMEETS, TJM
FOKKENS, N
BREEDVELD, FC
机构
[1] Department of Rheumatology, Dr. Daniël Den Hoed Clinic, Rotterdam, 3008 AE
[2] Department of Rheumatology, University Hospital Leiden
[3] Department of Pathology, Dr. Daniël Den Hoed Clinic, Rotterdam, 3008 AE
[4] Department of Dentistry, Dr. Daniël Den Hoed Clinic, Rotterdam, 3008 AE
关键词
BETA-MICROGLOBULIN; LYSOZYME; LACTOFERRIN; SALIVA; SJORGRENS SYNDROME;
D O I
10.1007/BF02283111
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In search of a simple non-invasive diagnostic test for primary Sjogren's syndrome (SS) the concentration of beta2-microglobulin (beta2-m), lysozyme (LZM) and lactoferrin (Lf) was measured in stimulated parotid saliva of 39 patients with primary SS, 42 patients suspected of the syndrome in whom the diagnosis could be excluded (NON-SS) and in 41 normal control individuals. Salivary fluid levels of beta2-m, LZM and Lf exceeding the mean + 2 X standard deviation of healthy control values were found in respectively 58%, 23%, and 26% of the primary SS patients and in 7%, 11% and 0% of the NON-SS patients. The results of this study indicate that due to the low sensitivity the tests are not suitable as a screening procedure for patients suspected of having primary SS. However, measurement of beta2-m in stimulated parotid saliva may be used as an adjunctive diagnostic test for primary SS.
引用
收藏
页码:521 / 525
页数:5
相关论文
共 31 条
[1]  
Fox R.I., Howell F.V., Bone R.C., Michelson P., Primary Sjögren's syndrome: clinical and immunopathologic features, Semin Arthritis Rheum, 114, pp. 77-105, (1984)
[2]  
Bloch K.J., Buchanan W.W., Wohl M.J., Bunim J.J., Sjögren's syndrome. A clinical, pathological, and serological study of sixity-two cases, Medicine, 44, pp. 187-231, (1965)
[3]  
Moutsopoulos H.M., Chused T.M., Mann D.L., Et al., Sjögren's syndrome (Sicca syndrome): Current issues, Ann Intern Med, 92, pp. 212-226, (1980)
[4]  
Tsampoulas C.G., Skopouli F.N., Sartoris D.J., Et al., Hand radiagraphic changes in patients with primary and secondary Sjögren's syndrome, Scandinavian Journal of Rheumatology, 15, pp. 333-339, (1986)
[5]  
Bjerrum K., Prause J.U., Primary Sjögren's syndrome: a subjective description of the disease, Clin Exp Rheumatol, 8, pp. 283-288, (1990)
[6]  
Castro-Poltronieri A.I, Alarcon-Segovia D., Articular manihfestations of Primary Sjögren's syndrome, J Rheumatol, 10, pp. 485-488, (1989)
[7]  
Shearn M.A., Sjögren's Syndrome, pp. 1-34, (1971)
[8]  
Pavlides N.A., Karsh J., Moutsopoulos H.M., The clinical picture of primary Sjögren's syndrome: a retrospective study, J Rheumatol, 9, pp. 685-690, (1982)
[9]  
Manthorpe R., Andersen V., Jensen O.A., Oxholm P., Prause J.U., Shiod M., Editorial comments to the four sets of criteria for Sjögren's syndrome, Scand J Rheumatol, pp. 31-35, (1986)
[10]  
Vitali S., Bombardieri S., Diagnostic criteria for Sjögren's syndrome: the state of the art, Clin Exp Rheumatol, 8, pp. 13-16, (1990)