原发性干燥综合征分类的EULAR/ACR标准

纳入标准

评分*

唇唾液腺有局灶性淋巴细胞性唾液腺炎且病灶评分† ≥1

3

抗SSA抗体(抗Ro抗体)

3

至少1只眼染色评分‡ ≥5(或van Bijsterveld评分≥4)

1

至少1只眼Schirmer试验≤5 mm/5 min

1

非刺激性全唾液流速≤0.1 mL/min§

1

*要符合纳入标准,患者的评分必须≥4,至少有1项眼部或口腔干燥症状,且不符合排除标准。

符合下列排除标准的患者不考虑原发性干燥综合征:

  • 头颈部放射治疗史

  • 活动性丙型肝炎感染(经聚合酶链反应证实)

  • 获得性免疫缺陷综合征

  • 结节病

  • 淀粉样变

  • 移植物抗宿主疾病

  • IgG4相关疾病

†病灶评分是4mm2 腺体表面中至少存在50个炎性细胞浸润。

‡ As described in Whitcher JP, Shiboski CH, Shiboski SC, et al: A simplified quantitative method for assessing keratoconjunctivitis sicca from the Sjögren's syndrome international registry.Am J Ophthalmol149(3):405–415, 2010.doi: 10.1016/j.ajo.2009.09.013

§ As described in Navazesh M: Methods for collecting saliva.Ann N Y Acad Sci 694:72–77, 1993.doi: 10.1111/j.1749-6632.1993.tb18343.x

EULAR/ACR = European League Against Rheumatism/American College of Rheumatology

Modified from Shiboski CH, Shiboski SC, Seror R, et al: 2016 American College of Rheumatology/European League Against Rheumatism classification criteria for primary Sjögren's syndrome: A consensus and data-driven methodology involving three international patient cohorts.Arthritis Rheumatol 69(1):35–45, 2017.doi: 10.1002/art.39859

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