PMID- 20338890 OWN - NLM STAT- MEDLINE DCOM- 20110311 LR - 20221207 IS - 1462-0332 (Electronic) IS - 1462-0324 (Linking) VI - 49 IP - 7 DP - 2010 Jul TI - A single centre retrospective analysis of AECG classification criteria for primary Sjogren's syndrome based on 112 minor salivary gland biopsies in a Japanese population. PG - 1290-3 LID - 10.1093/rheumatology/keq075 [doi] AB - OBJECTIVE: To assess the usefulness and performance of the American European Consensus Group (AECG) criteria based on minor salivary gland biopsy (MSGB) in Japanese patients with primary SS. METHODS: Among 208 MSGB cases, we retrospectively selected 112 subjects who satisfied the complete set of AECG classification criteria. Of the 112 subjects studied, 63 primary SS patients and 49 non-SS group subjects were classified according to the AECG criteria. The contribution of subjective and objective components was statistically analysed. RESULTS: Sex, dry eye, Saxon test, Schirmer's test, anti-SSA/Ro antibody, MSGB grading and sialography statistically contributed to the diagnosis. Multiple logistic regression analysis showed that positive MSGB [odds ratio (OR) 105; 95% CI 13, 849), positive anti-SSA/Ro antibody (OR 96; 95% CI 10, 923), a positive Saxon test (OR 46; 95% CI, 6, 340) and the existence of dry eye (OR 8, 95% CI 2, 43) were associated with the diagnosis of primary SS. Among the components of the AECG criteria, MSGB and anti-SSA/Ro antibody were very strong contributors. Furthermore, the abnormal-finding positive rate in sialography significantly correlated with MSGB grading (P-value for trend = 0.0006), although other subjective and objective components were not associated with MSGB grading. CONCLUSION: The usefulness of the AECG criteria for Japanese primary SS patients was confirmed. FAU - Nakamura, Hideki AU - Nakamura H AD - Department of Immunology and Rheumatology, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki City, Nagasaki 852-8501, Japan. nhideki@nagasaki-u.ac.jp FAU - Kawakami, Atsushi AU - Kawakami A FAU - Iwamoto, Naoki AU - Iwamoto N FAU - Okada, Akitomo AU - Okada A FAU - Yamasaki, Satoshi AU - Yamasaki S FAU - Tamai, Mami AU - Tamai M FAU - Ida, Hiroaki AU - Ida H FAU - Takagi, Yukinori AU - Takagi Y FAU - Hayashi, Tomayoshi AU - Hayashi T FAU - Aoyagi, Kiyoshi AU - Aoyagi K FAU - Nakamura, Takashi AU - Nakamura T FAU - Eguchi, Katsumi AU - Eguchi K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100324 PL - England TA - Rheumatology (Oxford) JT - Rheumatology (Oxford, England) JID - 100883501 SB - IM MH - Aged MH - Asian People MH - Biopsy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Retrospective Studies MH - Salivary Gland Diseases/*classification/pathology/physiopathology MH - Salivary Glands, Minor/*metabolism MH - Severity of Illness Index MH - Sjogren's Syndrome/*classification/pathology/physiopathology MH - Statistics as Topic EDAT- 2010/03/27 06:00 MHDA- 2011/03/12 06:00 CRDT- 2010/03/27 06:00 PHST- 2010/03/27 06:00 [entrez] PHST- 2010/03/27 06:00 [pubmed] PHST- 2011/03/12 06:00 [medline] AID - keq075 [pii] AID - 10.1093/rheumatology/keq075 [doi] PST - ppublish SO - Rheumatology (Oxford). 2010 Jul;49(7):1290-3. doi: 10.1093/rheumatology/keq075. Epub 2010 Mar 24.