PMID- 33099041 OWN - NLM STAT- MEDLINE DCOM- 20210125 LR - 20210125 IS - 1873-0183 (Electronic) IS - 1568-9972 (Linking) VI - 19 IP - 12 DP - 2020 Dec TI - Minor salivary gland biopsy: Its role in the classification and prognosis of Sjogren's syndrome. PG - 102690 LID - S1568-9972(20)30267-6 [pii] LID - 10.1016/j.autrev.2020.102690 [doi] AB - Sjogren's syndrome (SS) is an autoimmune disorder characterized by mononuclear cell infiltration in the exocrine glands, which leads to sicca syndrome (xerostomia and xerophthalmia). The etiology of SS is unknown, but multiple environmental factors (infectious, hormonal and stress-related), as well as genetic factors, may play a role in its pathogenesis. The diagnosis of SS is complex considering its clinical and paraclinical parameters may not be very specific. The minor salivary gland biopsy (MSGB) has undoubtedly become crucial for classifying and determining the prognosis of SS. The three main different classification systems for its interpretation have been described by Chisholm and Mason, Greenspan and Daniels, and Tarpley. However, this invasive procedure has variable sensitivity and specificity as well as low reproducibility. The use of additional methods, such as skin biopsy, imaging techniques, and serum/salivary biomarkers, may be combined with current methods to develop a bioscore that could increase diagnostic performance. In this review, we summarized the main pathological findings in SS and the prognosis of patients with SS according to the biopsy results. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Bautista-Vargas, Mario AU - Bautista-Vargas M AD - GIRAT: Grupo de Investigacion en Reumatologia, Autoinmunidad y Medicina Traslacional, Fundacion Valle Del Lili and Universidad Icesi, Cali, Colombia. FAU - Vivas, Alvaro J AU - Vivas AJ AD - GIRAT: Grupo de Investigacion en Reumatologia, Autoinmunidad y Medicina Traslacional, Fundacion Valle Del Lili and Universidad Icesi, Cali, Colombia. FAU - Tobon, Gabriel J AU - Tobon GJ AD - GIRAT: Grupo de Investigacion en Reumatologia, Autoinmunidad y Medicina Traslacional, Fundacion Valle Del Lili and Universidad Icesi, Cali, Colombia. Electronic address: gjtobon@icesi.edu.co. LA - eng PT - Journal Article PT - Review DEP - 20201022 PL - Netherlands TA - Autoimmun Rev JT - Autoimmunity reviews JID - 101128967 SB - IM MH - Biopsy MH - Humans MH - Prognosis MH - Reproducibility of Results MH - *Salivary Glands, Minor/pathology MH - *Sjogren's Syndrome/diagnosis OTO - NOTNLM OT - Chisholm and Mason OT - Focus score OT - Greenspan and Daniels OT - Minor salivary gland biopsy OT - Sjogren's syndrome OT - Tarpley EDAT- 2020/10/26 06:00 MHDA- 2021/01/26 06:00 CRDT- 2020/10/25 00:02 PHST- 2020/05/19 00:00 [received] PHST- 2020/05/25 00:00 [accepted] PHST- 2020/10/26 06:00 [pubmed] PHST- 2021/01/26 06:00 [medline] PHST- 2020/10/25 00:02 [entrez] AID - S1568-9972(20)30267-6 [pii] AID - 10.1016/j.autrev.2020.102690 [doi] PST - ppublish SO - Autoimmun Rev. 2020 Dec;19(12):102690. doi: 10.1016/j.autrev.2020.102690. Epub 2020 Oct 22.