Evolution of diagnostic criteria for Sjögren′s Syndrome
Journal Title: 口腔疾病防治 - Year 2019, Vol 27, Issue 5
Abstract
Sjögren′s syndrome lacks a single and objective diagnostic index, and its diagnosis often requires comprehensive analysis according to classification criteria. With increasing research and a deepening understanding of the disease, the classification criteria are constantly being adjusted and revised. The sensitivity and specificity of the diagnosis have gradually improved, which has the value of diagnostic criteria largely. Since 1965, more than ten diagnostic criterias for Sjögren′s syndrome have been published. After debate and experience, international criteria with wide applicability have gradually replaced regional criteria. In the evolution of the diagnostic criteria, the diagnostic rules and evaluation methods have become more concise and unified. Techniques with poor specificity and operative difficulty, which are not easy to popularize or apply in the clinic, have gradually been eliminated. A diagnostic system based on an objective examination and subjective symptoms has gradually formed, and lip gland biopsy and serum autoantibody sampling have demonstrated great diagnostic value. The optimization of diagnostic rules makes the diagnosis of this disease more efficient and scientific. This paper reviews the characteristics of and differences in diagnostic criteria for Sjögren′s syndrome and analyzes the internal logic of the evolution of different diagnostic criteria in light of development in research on the disease with the hope of benefitting the diagnosis, treatment and related research of Sjögren′s syndrome.
Authors and Affiliations
TAO Qian, LIANG Peisheng
Keywords
Related Articles
- EP ID EP623842
- DOI 10.12016/j.issn.2096-1456.2019.05.001
- Views 148
- Downloads 0
Advances in epigenetic changes induced by pathogenic factors of oral diseases
The oral cavity is a complex and complete ecosystem. In addition to the microbial community, anatomical structure, temperature, humidity, pH, nutrient sources, proteases, and external factors all influence the ecosystem....
Consideration of indications for endodontic microsurgery
Posttreatment disease is a difficult clinical problem. Periradicular surgery is an important and effective method for cases that cannot be resolved by root canal therapy. In recent years, with the application of microsco...
Research progress of probiotics in the prevention and treatment of oral infectious diseases
Oral infectious diseases include caries, periodontal disease, halitosis, candidiasis albicans and so on. Over the past few decades, probiotics have mainly been studied in the field of the gastrointestinal tract. In recen...
Analysis of the application and effect of the PDCA cycle nursing management model in the treatment of peri-implant mucositis
Objective To explore the application and effect of the PDCA cycle nursing management model in the treatment of peri-implant mucositis.Methods Thirty patients with peri-implant mucositis were treated nonsurgically. Before...
Study on soft tissue changes of angle class Ⅱ division Ⅰ mandibular retraction patients during mixed dental period with MRC functional correction
Objective To observe the changes of soft tissue in patients with Angle class Ⅱ division Ⅰ malocclusion during mixed dentition treated with MRC functional appliance. Methods Twenty patients with Class Ⅱ division Ⅰ maloccl...