Evidence map›Paper›PMID 42446617›Full record

ArticleClinical rheumatology2026

The clinical characteristics and risk factors of pulmonary arterial hypertension in primary Sjögren disease: a single-center retrospective study.

Shuqi Zhuang, Ling Zheng, Xuan Wang, Jincheng Pu, Yuanyuan Liang, Zhenzhen Wu, Youwei Zhang, Jianping Tang

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Article in Clinical rheumatology, 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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5 · Who and what money

Authors and funding

8 authors.

Shuqi Zhuang *Department of Rheumatology and Immunology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Ling Zheng *Department of Respiratory Medicine, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Xuan WangDepartment of Rheumatology and Immunology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Jincheng PuDepartment of Rheumatology and Immunology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Yuanyuan LiangDepartment of Rheumatology and Immunology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Zhenzhen WuDepartment of Rheumatology and Immunology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Youwei ZhangDepartment of Rheumatology and Immunology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Jianping TangDepartment of Rheumatology and Immunology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China. tangjp6512@126.com.ORCID http://orcid.org/0000-0003-4629-7631

Funding

Clinical research program of Tongji Hospital Tongji University ITJQN2001Clinical research program of Tongji Hospital Tongji University ITJZD1909Clinical research program of Tongji Hospital Tongji University ITJZD2408Fundamental Research Funds for the Central Universities 22120240361Natural Science Foundation of Shanghai 20ZR1451400Natural Science Foundation of Shanghai 25ZR1401321Science and technology commission of Shanghai 20Y11911600Shanghai Pujiang Rheumatic Youth Cultivation Program SPROG2007Shanghai Pujiang Rheumatic Youth Cultivation Program SPROG2210Shanghai Pujiang Rheumatic Youth Cultivation Program SPROG2310Shanghai Wu Mengchao Medical Foundation JJHXM-2019011Sixth cycle of key cultivation disciplines of Tongji Hospital Tongji University ZDPY24-YD-2the National Natural Science Foundation of China 81671598the National Natural Science Foundation of China 81801601the Shanghai Sailing Program 17YF1417200
6 · The paper itself

Abstract

objectivesTo summarize clinical characteristics and explore risk factors of pulmonary arterial hypertension (PAH) in patients with primary Sjögren disease (pSjD).

methodsWe retrospectively collected the clinical data of 190 pSjD inpatients, who were stratified into groups with PAH (pSjD-PAH) and without PAH (pSjD-non-PAH). The differences of clinical manifestations, laboratory tests, EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) score, and transthoracic echocardiography (TTE) parameters between two groups were compared. A subgroup analysis was performed in pSjD-PAH patients according to pericardial effusion (PE) status.

resultsA total of 32 pSjD patients with PAH and 158 pSjD patients without PAH were analyzed. Patients in the pSjD-PAH group were older, with a higher incidence of mild interstitial lung disease (ILD) and diabetes (p < 0.05). They also exhibited higher levels of leukocytes, red blood cell distribution width (RDW), total bilirubin (TBIL), γ-glutamyltransferase (γ-GT), lactate dehydrogenase (LDH), and uric acid (UA) (p < 0.05). Logistic regression analysis identified mild ILD, age, and TBIL as independent risk factors for PAH in patients with pSjD. A predictive model was constructed and internally validated. In the subgroup analysis, ESSDAI score was comparable (p > 0.05), whereas values of pulmonary artery systolic pressure (PASP), pulmonary artery pressure (PA), and right atrial diameter (RAD) were higher in the PE-positive subgroup (p < 0.05).

conclusionsMild ILD, age, and TBIL are identified as independent risk factors for PAH in patients with pSjD. PE formation in pSjD-PAH patients may be associated with elevated right-sided heart pressure. Key Points • Pulmonary arterial hypertension (PAH) is a common cause of death in patients with primary Sjögren disease (pSjD), and relevant studies remain limited. • PSjD patients with PAH are more likely to have pericardial effusion (PE), which may result from elevated right-sided heart pressure and subsequent venous return obstruction. • Several risk factors were identified to enable early identification of pSjD-PAH patients.

Indexed as

Hypertension, PulmonaryPulmonary Arterial HypertensionSjogren's SyndromeAdultAgedEchocardiographyFemaleHumansLogistic ModelsLung Diseases, InterstitialMaleMiddle AgedPericardial EffusionRetrospective StudiesRisk FactorsSeverity of Illness IndexClinical characteristicsPericardial effusionPrimary Sjögren’s syndromePulmonary arterial hypertensionRisk factors

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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.