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Sjögren's syndrome: a systemic autoimmune disease
Simone Negrini1, Giacomo Emmi2, Monica Greco3
1Department of Internal Medicine, Clinical Immunology and Translational Medicine Unit, University of Genoa and IRCCS Ospedale Policlinico San Martino, Viale Benedetto XV, 6, 16132, Genoa, Italy. negrini@unige.it.
Sjögren's syndrome is an autoimmune disorder causing dryness due to gland dysfunction. This review covers its pathogenesis, diagnosis, and diverse treatments, from symptomatic relief to advanced therapies.
Area of Science:
- Immunology
- Rheumatology
- Autoimmune Diseases
Background:
- Sjögren's syndrome is a chronic autoimmune disease.
- Characterized by ocular and oral dryness due to lacrimal and salivary gland dysfunction.
- Presents with pleomorphic systemic manifestations affecting various organ systems.
Purpose of the Study:
- To review recent literature on Sjögren's syndrome.
- To cover pathogenesis, diagnosis, and therapeutic options.
- To provide an update for clinicians and researchers.
Main Methods:
- Literature review of recent publications.
- Synthesis of information on pathogenesis, diagnosis, and treatment.
- Focus on primary and secondary Sjögren's syndrome.
Main Results:
- Pathogenesis involves genetic/environmental factors and aberrant B-lymphocyte activity.
- Diagnosis relies on clinical signs, symptoms, histopathology, and autoantibodies.
- Treatment includes local, symptomatic, and systemic therapies (DMARDs, biologics).
Conclusions:
- Sjögren's syndrome pathogenesis is complex, involving immune system dysregulation.
- Accurate diagnosis utilizes clinical findings and specific biomarkers.
- Current treatments aim to manage symptoms and underlying disease activity.
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