Recommendations for evaluation and diagnosis of extra-glandular manifestations of primary Sjögren syndrome: results of an epidemiologic systematic review/ meta-analysis and a consensus guideline from the Brazilian society of rheumatology (hepatic, gastrointestinal and pancreatic)
Abstract Sjogren's syndrome (SS) is an autoimmune disease characterized by lymphocytic infiltration of the exocrine glands and other organs, associated with sicca syndrome but also with systemic involvement with varying degrees of severity. Despite their importance, some systemic manifestations, mainly liver, gastrointestinal, and pancreatic are not routinely evaluated. To address these manifestations, the Sjögren's Syndrome Committee of the Brazilian Society of Rheumatology conducted a broad systematic review of the literature on studies investigating prevalence and diagnosis of these symptoms in Sjogren´s patients and made recommendations based on the findings. Agreement between the experts was achieved using the Delphi method. This is the second part of this guideline, providing 6 recommendations for liver, gastrointestinal, and pancreatic care of SS patients.
Main Authors: | Trevisani,Virginia Fernandes Moça, Pinheiro,Aysa César, Fialho,Sonia Cristina de Magalhães Souza, Fernandes,Marilena Leal Mesquita Silvestre, Pugliesi,Alisson, Pasoto,Sandra Gofinet, Lopes,Maria Lucia Lemos, Guedes,Lissiane Karine Noronha, Miyamoto,Samira Tatiyama, Santos,Laura Caldas dos, Appenzeller,Simone, Fidelix,Tania, Ribeiro,Sandra Lúcia Euzébio, Brito,Danielle Christinne Soares Egypto de, Libório-Kimura,Tatiana Nayara, Santos,Maria Carmen Lopes Ferreira Silva, Cantali,Diego Ustárroz, Gennari,Juliana D.’Agostino, Capobianco,Karina Gatz, Civile,Vinicius Tassoni, Pinto,Ana Carolina Pereira Nunes, Rocha,Aline Pereira da, Rocha Filho,César Ramos, Oliveira,Fabiola Reis, Valim,Valeria |
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Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira de Reumatologia
2022
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Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2523-31062022000100305 |
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