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Published in: Pediatric Nephrology 10/2007

01-10-2007 | Brief Report

End-stage renal failure in adolescence with Sjögren’s syndrome autoantibodies SSA and SSB

Authors: Sally Johnson, Sally-Anne Hulton, Marie-Anne Brundler, Celia Moss, Aarnoud Huissoon, C. Mark Taylor

Published in: Pediatric Nephrology | Issue 10/2007

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Abstract

We describe two adolescents who presented with end-stage renal failure and clinical features suggestive of Sjögren’s syndrome (SS). They both demonstrated severe, chronic, tubulointerstitial inflammation on renal biopsy, high-titre antinuclear antibodies, high immunoglobulin A and G concentrations, positive anti-SSA and anti-SSB antibodies, and negative anti-double-stranded DNA antibodies. One had subjective and objective evidence of the sicca complex (dry eyes and/or dry mouth) and fulfilled the commonly accepted SS consensus criteria. The other showed no evidence of the sicca complex but fulfilled modified criteria for juvenile SS. SS may be underrecognised as a cause of end-stage renal failure in childhood.
Literature
1.
go back to reference Vitali C, Bombardieri S, Jonsson R, Moutsopoulos HM, Alexander EL, Carsons SE, Daniels TE, Fox PC, Fox RI, Kassan SS, Pillemer SR, Talal N, Weisman MH (2002) Classification criteria for Sjogren’s syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. Ann Rheum Dis 61:554–558CrossRef Vitali C, Bombardieri S, Jonsson R, Moutsopoulos HM, Alexander EL, Carsons SE, Daniels TE, Fox PC, Fox RI, Kassan SS, Pillemer SR, Talal N, Weisman MH (2002) Classification criteria for Sjogren’s syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. Ann Rheum Dis 61:554–558CrossRef
2.
go back to reference Houghton K, Malleson P, Cabral D, Petty R, Tucker L (2005) Primary Sjogren’s syndrome in children and adolescents: are proposed diagnostic criteria applicable? J Rheumatol 32:2225–2232PubMed Houghton K, Malleson P, Cabral D, Petty R, Tucker L (2005) Primary Sjogren’s syndrome in children and adolescents: are proposed diagnostic criteria applicable? J Rheumatol 32:2225–2232PubMed
3.
go back to reference Bartunkova J, Sediva A, Vencovsky J, Tesar V (1999) Primary Sjogren’s syndrome in children and adolescents: proposal for diagnostic criteria. Clin Exp Rheumatol 17:381–386PubMed Bartunkova J, Sediva A, Vencovsky J, Tesar V (1999) Primary Sjogren’s syndrome in children and adolescents: proposal for diagnostic criteria. Clin Exp Rheumatol 17:381–386PubMed
4.
go back to reference Bossini N, Savoldi S, Franceschini F, Mombelloni S, Baronio M, Cavazzana I., Viola BF, Valzorio B, Mazzucchelli C, Cattaneo R, Scolari F, Maiorca R (2001) Clinical and morphological features of kidney involvement in primary Sjogren’s syndrome. Nephrol Dial Transplant 16:2328–2336CrossRef Bossini N, Savoldi S, Franceschini F, Mombelloni S, Baronio M, Cavazzana I., Viola BF, Valzorio B, Mazzucchelli C, Cattaneo R, Scolari F, Maiorca R (2001) Clinical and morphological features of kidney involvement in primary Sjogren’s syndrome. Nephrol Dial Transplant 16:2328–2336CrossRef
5.
go back to reference Goules A, Masouridi S, Tzioufas AG, Ioannidis JP, Skopouli FN, Moutsopoulos HM (2000) Clinically significant and biopsy-documented renal involvement in primary Sjogren syndrome. Medicine 79:241–249CrossRef Goules A, Masouridi S, Tzioufas AG, Ioannidis JP, Skopouli FN, Moutsopoulos HM (2000) Clinically significant and biopsy-documented renal involvement in primary Sjogren syndrome. Medicine 79:241–249CrossRef
6.
go back to reference Ohlsson V, Strike H, James-Ellison M, Tizard EJ, Ramanan AV (2006) Renal tubular acidosis, arthritis and autoantibodies: primary Sjogren’s syndrome in childhood. Rheumatology 45:238–240CrossRef Ohlsson V, Strike H, James-Ellison M, Tizard EJ, Ramanan AV (2006) Renal tubular acidosis, arthritis and autoantibodies: primary Sjogren’s syndrome in childhood. Rheumatology 45:238–240CrossRef
7.
go back to reference Pessler F, Emery H, Dai L, Wu YM, Monash B, Cron RQ, Pradhan M (2006) The spectrum of renal tubular acidosis in paediatric Sjogren syndrome. Rheumatology 45:85–91CrossRef Pessler F, Emery H, Dai L, Wu YM, Monash B, Cron RQ, Pradhan M (2006) The spectrum of renal tubular acidosis in paediatric Sjogren syndrome. Rheumatology 45:85–91CrossRef
8.
go back to reference Moutsopoulos HM, Cledes J, Skopoul, FN, Elisaf M, Youinou P (1991) Nephrocalcinosis in Sjogren’s syndrome: a late sequela of renal tubular acidosis. J Intern Med 230:187–191CrossRef Moutsopoulos HM, Cledes J, Skopoul, FN, Elisaf M, Youinou P (1991) Nephrocalcinosis in Sjogren’s syndrome: a late sequela of renal tubular acidosis. J Intern Med 230:187–191CrossRef
9.
go back to reference Koenig M, Hacini J, Thibaudin D, Rousset H, Cathebras P (2004) Distal renal tubular acidosis ten years before Sjogren’s syndrome. Rev Med Interne 25:764–766CrossRef Koenig M, Hacini J, Thibaudin D, Rousset H, Cathebras P (2004) Distal renal tubular acidosis ten years before Sjogren’s syndrome. Rev Med Interne 25:764–766CrossRef
10.
go back to reference Eriksson P, Denneberg T, Enestrom S, Johansson B, Lindstrom F, Skogh T (1996) Urolithiasis and distal renal tubular acidosis preceding primary Sjogren’s syndrome: a retrospective study 5–53 years after the presentation of urolithiasis. J Intern Med 239:483–488CrossRef Eriksson P, Denneberg T, Enestrom S, Johansson B, Lindstrom F, Skogh T (1996) Urolithiasis and distal renal tubular acidosis preceding primary Sjogren’s syndrome: a retrospective study 5–53 years after the presentation of urolithiasis. J Intern Med 239:483–488CrossRef
11.
go back to reference Palcoux JB, Janin-Mercier A, Campagne D, Fonck Y, Betail G (1984) Sjogren syndrome and lupus erythematosus nephritis. Arch Dis Child 59:175–177CrossRef Palcoux JB, Janin-Mercier A, Campagne D, Fonck Y, Betail G (1984) Sjogren syndrome and lupus erythematosus nephritis. Arch Dis Child 59:175–177CrossRef
12.
go back to reference Zufferey P, Meyer OC, Bourgeois P, Vayssairat M, Kahn MF (1995) Primary systemic Sjogren syndrome (SS) preceding systemic lupus erythematosus: a retrospective study of 4 cases in a cohort of 55 SS patients. Lupus 4:23–27CrossRef Zufferey P, Meyer OC, Bourgeois P, Vayssairat M, Kahn MF (1995) Primary systemic Sjogren syndrome (SS) preceding systemic lupus erythematosus: a retrospective study of 4 cases in a cohort of 55 SS patients. Lupus 4:23–27CrossRef
13.
go back to reference Brickman CM, Tsokos GC, Balow JE, Lawley TJ, Santaella M, Hammer CH, Frank MM (1986) Immunoregulatory disorders associated with hereditary angioedema. I. Clinical manifestations of autoimmune disease. J Allergy Clin Immunol 77:749–757CrossRef Brickman CM, Tsokos GC, Balow JE, Lawley TJ, Santaella M, Hammer CH, Frank MM (1986) Immunoregulatory disorders associated with hereditary angioedema. I. Clinical manifestations of autoimmune disease. J Allergy Clin Immunol 77:749–757CrossRef
14.
go back to reference Suzuki Y, Hinoshita F, Yokoyama K, Katori H, Ubara Y, Hara S, Ogura Y, Yamada A (1997) Association of Sjogren’s syndrome with hereditary angioneurotic edema: report of a case. Clin Immunol Immunopathol 84:95–97CrossRef Suzuki Y, Hinoshita F, Yokoyama K, Katori H, Ubara Y, Hara S, Ogura Y, Yamada A (1997) Association of Sjogren’s syndrome with hereditary angioneurotic edema: report of a case. Clin Immunol Immunopathol 84:95–97CrossRef
15.
go back to reference Botto M, Walport MJ (2002) C1q, autoimmunity and apoptosis. Immunobiology 205:395–406CrossRef Botto M, Walport MJ (2002) C1q, autoimmunity and apoptosis. Immunobiology 205:395–406CrossRef
16.
go back to reference Ioannidis JP, Vassiliou VA, Moutsopoulos HM (2002) Long-term risk of mortality and lymphoproliferative disease and predictive classification of primary Sjogren’s syndrome. Arthritis Rheum 46:741–747CrossRef Ioannidis JP, Vassiliou VA, Moutsopoulos HM (2002) Long-term risk of mortality and lymphoproliferative disease and predictive classification of primary Sjogren’s syndrome. Arthritis Rheum 46:741–747CrossRef
Metadata
Title
End-stage renal failure in adolescence with Sjögren’s syndrome autoantibodies SSA and SSB
Authors
Sally Johnson
Sally-Anne Hulton
Marie-Anne Brundler
Celia Moss
Aarnoud Huissoon
C. Mark Taylor
Publication date
01-10-2007
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 10/2007
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-007-0526-y

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