[Histopathologic lesions of the accessory salivary glands in Gougerot-Sjögren syndrome: re-evaluation of the diagnostic criteria of Chisholm and Mason and of Chometter et al]

Rev Stomatol Chir Maxillofac. 1994;95(3):207-12.
[Article in French]

Abstract

In a retrospective study, we used a series of 29 patients with Sjögren's Syndrome diagnosed according to the new European criteria (Cl. Vitali, S. Bombardieri, H. M. Moutsopoulos et al.) (8). (Arthritis Rheum 1993; 36:340-7). A labial biopsy technique allowed to classify these patients into the anatomical "scores" formerly related by Chisholm and Mason and Chomette et al. Referring to these criteria, only 45% of patients presented a characteristic histopathological pattern. If another complementary criterium, i.e. ductal tropism of lymphoid infiltrates, was added, that percentage remained low (50% only). Thus, these results would suggest the following considerations: the classical histopathological criteria do not seem sufficiently specific; other histological criteria such as ductal lesions previously noted by Leroy et al. must in addition be looked for; thus it would seem to be of considerable value to use in the future complementary quantitative studies by means of morphometric methods.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Diagnosis, Differential
  • Epithelium / pathology
  • Exocytosis
  • Female
  • Humans
  • Leukocyte Count
  • Lymphocytes / pathology
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Retrospective Studies
  • Salivary Glands, Minor / pathology*
  • Sclerosis
  • Sjogren's Syndrome / classification
  • Sjogren's Syndrome / diagnosis*
  • Sjogren's Syndrome / pathology