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Senile dry skin type Sjögren's syndrome
1Department of Dermatology, Yamagata University School of Medicine, Japan.
International Journal of Dermatology
|May 1, 1994
Summary
Asteatotic dermatitis, or dry skin, is common in elderly patients with Sjögren's syndrome (SJS). This condition, termed "senile dry skin type SJS," often presents with objective dryness, even without subjective symptoms.
Area of Science:
- Dermatology
- Rheumatology
- Geriatrics
Background:
- Elderly patients with Sjögren's syndrome (SJS) can develop asteatotic dermatitis.
- This presentation is termed "senile dry skin type SJS."
Purpose of the Study:
- To further define "senile dry skin type SJS" in elderly patients.
- To document clinical and laboratory findings in this patient cohort.
Main Methods:
- 36 SJS patients (mean age 72) were studied.
- Evaluations included subjective dryness assessment, Schirmer test, rose bengal test, minor labial gland biopsy, sialography, and hematologic/immunologic tests.
Main Results:
- Abnormal labs: elevated ESR (85%), hepatic dysfunction (50%), anemia (45%), leukopenia (42%), thrombocytopenia (16%).
- Immunologic findings: positive ANA (55%), increased gamma globulin (28%), positive RF (20%).
- 30% of patients lacked subjective dryness but showed objective signs.
Conclusions:
- Dry-skin-dermatitis associated with SJS is common in the elderly.
- Objective signs of dryness may be present without subjective symptoms in senile dry skin type SJS.