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Open Access 01-12-2015 | Research article

Reevaluation for clinical manifestations of HTLV-I-seropositive patients with Sjögren’s syndrome

Authors: Hideki Nakamura, Toshimasa Shimizu, Yukinori Takagi, Yoshiko Takahashi, Yoshiro Horai, Yoshikazu Nakashima, Shuntaro Sato, Hirokazu Shiraishi, Tatsufumi Nakamura, Junya Fukuoka, Takashi Nakamura, Atsushi Kawakami

Published in: BMC Musculoskeletal Disorders | Issue 1/2015

Abstract

Background

The aim of the study was to reassess the prevalence and characteristics of human T lymphotropic virus type I (HTLV-I)-associated Sjögren’s syndrome (SS) and SS in HTLV-I-associated myelopathy (HAM) based on the American European Consensus Group (AECG) criteria in HTLV-I endemic area, Nagasaki prefecture.

Methods

The 349 patients who underwent a minor salivary gland biopsy (MSGB) for suspected SS were retrospectively classified by AECG classification criteria and divided with or without anti-HTLV-I antibody.

Results

The HTLV-I data-available 294 patients were investigated. One hundred-seventy patients were classified as SS and 26.5 % were HTLV-I-seropositive. We have included 26 patients with HTLV-I-associated myelopathy (HAM) and 38.5 % were classified as having SS. The prevalences of ANA and anti-SS-A/Ro antibody of HAM + SS were significantly low compared to the HTLV-I asymptomatic carriers (AC) with SS and the HTLV-I-seronegative SS patients, although lacrimal dysfunction tended to be high in HAM + SS and significantly high in AC + SS patients compared with the patients with HTLV-I-seronegative SS. The focus scores of MSGB in the HAM + SS patients were similar to those of the AC + SS patients and the HTLV-I-seronegative patients with SS. Among the MSGB-positive patients, there was a low prevalence of ANA in the HAM + SS patients. Similar results were obtained in case of anti-SS-A/Ro or SS-B/La antibody.

Conclusion

In HTLV-I endemic area, high prevalence of anti-HTLV-I antibody among SS as well as the characteristics of HAM + SS and AC + SS was still determined by AECG classification criteria.

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Title: Reevaluation for clinical manifestations of HTLV-I-seropositive patients with Sjögren’s syndrome
Authors: Hideki Nakamura
Toshimasa Shimizu
Yukinori Takagi
Yoshiko Takahashi
Yoshiro Horai
Yoshikazu Nakashima
Shuntaro Sato
Hirokazu Shiraishi
Tatsufumi Nakamura
Junya Fukuoka
Takashi Nakamura
Atsushi Kawakami
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2015
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-015-0773-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Reevaluation for clinical manifestations of HTLV-I-seropositive patients with Sjögren’s syndrome

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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