Evidence map›Paper›PMID 39506443›Full record

SynthesisCurrent rheumatology reviews2025

Sjögren's Syndrome and Ankylosing Spondylitis Association: A Case-Based Review.

Maroua Slouma, Takwa Mehmli, Emna Hannech, Rim Dhahri, Islam Mejri, Meriem Affes, Imen Gharsallah

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In one paragraph

Synthesis in Current rheumatology reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Maroua SloumaDepartment of Rheumatology, Military Hospital, Tunis, Tunisia.ORCID 0000-0002-6889-9687
Takwa MehmliDepartment of Rheumatology, Military Hospital, Tunis, Tunisia.ORCID 0000-0003-2320-5300
Emna HannechDepartment of Rheumatology, Military Hospital, Tunis, Tunisia.
Rim DhahriDepartment of Rheumatology, Military Hospital, Tunis, Tunisia.
Islam MejriDepartment of Rheumatology, University of Tunis El Manar, Tunis, Tunisia.
Meriem AffesDepartment of Rheumatology, University of Tunis El Manar, Tunis, Tunisia.
Imen GharsallahDepartment of Rheumatology, Military Hospital, Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUnlike restrictive pulmonary function and apical fibrobullous disease, diffuse interstitial lung disease is scarce in patients with ankylosing spondylitis (AS). We present a systematic review of the association between AS and SS. We also report a new case of SS revealed by interstitial lung disease in AS patients treated with tumor necrosis factor (TNF) inhibitors. MATERIALS AND

methodsThe systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline using the MEDLINE and SCOPUS databases and included case reports and case series describing the association between AS and SS.

resultsThere were sixty-three patients, including our case: 16 males and 47 females. The mean age was 49.2 years. The mean SpA duration was 14.1 years. The mean delay between SpA and SS was 12.8 years (0-27). SS was diagnosed after SpA in 62% of cases (n=39). It preceded SpA in 36.5% (n=23) and was concomitant with SpA in 1 case. All patients had sicca symptoms. Minor salivary gland biopsy, showed focal sialadenitis grade III or grade IV in the Chisholm classification in 20 patients. Anti-nuclear antibody was positive in 75.8% of cases. Among them, anti-SSA and anti-SSB were positive in 44.4% and 35.3% of cases. Except for our patient, no patient had interstitial lung disease. SS extra glandular manifestations were reported in 12 cases.

conclusionThe occurrence of Sjögren's syndrome is uncommon in patients with ankylosing spondylitis. This association has been reported in the literature, suggesting a pathogenetic link between these two diseases. This association should be considered in ankylosing spondylitis patients with diffuse interstitial lung disease. Knowing this association is necessary for therapeutic adjustment. Our study has some limitations. Publication bias was the major bias in our study. Indeed, we only included case reports and case series describing the association between SpA and SS. We did not search for unpublished work. Moreover, the follow-up was not specified in most included articles.

Indexed as

Lung Diseases, InterstitialSjogren's SyndromeSpondylitis, AnkylosingAdultFemaleHumansMaleMiddle Agedankylosing spondylitisanti- nuclear antibody.interstitial lung diseaseSjögren’s syndromespondyloarthritistumor necrosis factor

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.