Evidence map›Paper›PMID 42199585›Full record

ArticleCureus2026

Anti-SSA/Ro60kd Antibodies Are Associated With Positive Salivary Gland Biopsy in Sjögren's Syndrome: A Retrospective Exploratory Study.

Rita Matos Sousa, Marta Duarte, Ana Filipa Martins, Carlos Capela

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Article in Cureus, 2026. 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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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Rita Matos SousaClinical Sciences, Escola de Medicina, Universidade do Minho, Braga, PRT.
Marta DuarteClinical Sciences, Escola de Medicina, Universidade do Minho, Braga, PRT.
Ana Filipa MartinsInternal Medicine, Hospital de Braga, Braga, PRT.
Carlos CapelaClinical Sciences, Escola de Medicina, Universidade do Minho, Braga, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectivesSjögren's syndrome (SS) is a systemic autoimmune disease with heterogeneous clinical, laboratory, and histopathological manifestations, which complicate timely diagnosis. Minor salivary gland biopsy (MSGB) is a key component of SS classification, although its relationship with clinical and serological features remains incompletely characterized. This study aimed to evaluate the association between MSGB findings and clinical-laboratory variables in patients with SS and to identify variables associated with a positive biopsy.

methodsWe conducted a retrospective observational study at Braga Local Health Unit, including 37 patients diagnosed with SS between 1995 and 2024 who underwent MSGB. Patients were categorized into group A (positive biopsy, n = 17) or group B (negative biopsy, n = 20). Clinical, serological, and histopathological variables were analyzed using Fisher's exact test and multivariate logistic regression.

resultsThirty-seven patients were included (17 biopsy-positive, 20 biopsy-negative). The most frequent manifestations were ocular dryness (91.9%), oral dryness (78.4%), anti-SSA antibodies (Ro52: 51.4%; Ro60 kDa: 54.1%), antinuclear antibodies (ANA) titers >1:160 (64.9%), rheumatoid factor (RF) positivity (40.5%), elevated erythrocyte sedimentation rate (ESR) (67.6%), and arthralgia (56.8%). Fisher's exact test identified several statistically significant associations between clinical and serological variables. In multivariate logistic regression, anti-SSA Ro60 kDa positivity was independently associated with a positive biopsy result (OR: 12.94; 95% CI: 1.39-120.13; p = 0.024), while myalgias were associated with a lower likelihood of biopsy positivity.

conclusionThis exploratory study identified associations between serological markers and salivary gland biopsy findings in SS. Anti-SSA Ro60 kDa positivity may be associated with histopathological involvement; however, given the small sample size and wide confidence intervals, these findings should be interpreted cautiously and require validation in larger prospective studies.

Indexed as

anti-ssa ro60kdautoimmune diseasehistopathologyminor salivary gland biopsysjögren’s syndrome

Identifiers

PMID42199585
PMCPMC13200611

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