Measurement of Disease Activity and Damage in Sjogren's Syndrome

被引:8
作者
Vitali, Claudio [1 ,2 ]
机构
[1] Villamarina Hosp, Dept Internal Med, Piombino, Italy
[2] Villamarina Hosp, Rheumatol Sect, Piombino, Italy
关键词
Sjogren's syndrome; Disease activity; Disease damage; Outcome measures;
D O I
10.1016/j.rdc.2008.08.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sjogren's syndrome (SS) is a systemic autoimmune disease that is characterized by an aggressive autoimmune response to epithelia, with consequent reduction of their secretions accompanied by sicca complaints. Systemic features may also be present in a subset of patients and may require more aggressive therapies. Improvements in knowledge concerning disease pathophysiology, combined with the availability of specifically targeted therapies able to modulate or block some of the most important pathologic mechanisms of the disease, may open totally new perspectives in the therapeutic approach to SS. The absence of reliable and validated outcome measures for SS is a major obstacle in performing clinical trials of new therapies in SS but studies devoted to defining outcome measurement instruments for this disorder have been performed or are in an advanced phases of completion.
引用
收藏
页码:963 / +
页数:10
相关论文
共 24 条
[1]   The Sjogren's Syndrome Damage Index - a damage index for use in clinical trials and observational studies in primary Sjogren's syndrome [J].
Barry, R. J. ;
Sutcliffe, N. ;
Isenberg, D. A. ;
Price, E. ;
Goldblatt, F. ;
Adler, M. ;
Canavan, A. ;
Hamburger, J. ;
Richards, A. ;
Regan, M. ;
Gadsby, K. ;
Rigby, S. ;
Jones, A. ;
Mathew, R. ;
Mulherin, D. ;
Stevenson, A. ;
Nightingale, P. ;
Rauz, S. ;
Bowman, S. J. .
RHEUMATOLOGY, 2008, 47 (08) :1193-1198
[2]   Sjogrens Systemic Clinical Activity Index (SCAI)a systemic disease activity measure for use in clinical trials in primary Sjgrens syndrome [J].
Bowman, S. J. ;
Sutcliffe, N. ;
Isenberg, D. A. ;
Goldblatt, F. ;
Adler, M. ;
Price, E. ;
Canavan, A. ;
Hamburger, J. ;
Richards, A. ;
Rauz, S. ;
Regan, M. ;
Gadsby, K. ;
Rigby, S. ;
Jones, A. ;
Mathew, R. ;
Mulherin, D. ;
Stevenson, A. ;
Nightingale, P. .
RHEUMATOLOGY, 2007, 46 (12) :1845-1851
[3]   CRITERIA FOR RHEUMATIC DISEASE - DIFFERENT TYPES AND DIFFERENT FUNCTIONS [J].
FRIES, JF ;
HOCHBERG, MC ;
MEDSGER, TA ;
HUNDER, GG ;
BOMBARDIER, C ;
ALTMAN, RD ;
ARNETT, FC ;
CASSIDY, JT ;
GLADMAN, DD ;
LIGHTFOOT, RW ;
SCHWARTZ, BD ;
WHITE, B .
ARTHRITIS AND RHEUMATISM, 1994, 37 (04) :454-462
[4]   Primary Sjobgren syndrome -: Clinical and immunologic disease patterns in a cohort of 400 patients [J].
García-Carrasco, M ;
Ramos-Casals, M ;
Rosas, J ;
Pallarés, L ;
Calvo-Alen, J ;
Cervera, R ;
Font, J ;
Ingelmo, M .
MEDICINE, 2002, 81 (04) :270-280
[5]   The development and initial validation of the systemic lupus international collaborating clinics American College of Rheumatology Damage Index for Systemic Lupus Erythematosus [J].
Gladman, D ;
Ginzler, E ;
Goldsmith, C ;
Fortin, P ;
Liang, M ;
Urowitz, M ;
Bacon, P ;
Bombardieri, S ;
Hanly, J ;
Hay, E ;
Isenberg, D ;
Jones, J ;
Kalunian, K ;
Maddison, P ;
Nived, O ;
Petri, M ;
Richter, M ;
SanchezGuerrero, J ;
Snaith, M ;
Sturfelt, G ;
Symmons, D ;
Zoma, A .
ARTHRITIS AND RHEUMATISM, 1996, 39 (03) :363-369
[6]  
HAY EM, 1993, Q J MED, V86, P447
[7]   Long-term risk of mortality and lymphoproliferative disease and predictive classification of primary Sjogren's syndrome [J].
Ioannidis, JPA ;
Vassiliou, VA ;
Moutsopoulos, HM .
ARTHRITIS AND RHEUMATISM, 2002, 46 (03) :741-747
[8]   Translating outcomes measurement in experimental therapeutics of systemic rheumatic disease to patient care [J].
Liang, MH .
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, 2006, 32 (01) :1-+
[9]   The American college of rheumatology response criteria for systemic lupus erythematosus clinical trials - Measures of overall disease activity [J].
Liang, MH .
ARTHRITIS AND RHEUMATISM, 2004, 50 (11) :3418-3426
[10]   MEASUREMENT OF SYSTEMIC LUPUS-ERYTHEMATOSUS ACTIVITY IN CLINICAL RESEARCH [J].
LIANG, MH ;
SOCHER, SA ;
ROBERTS, WN ;
ESDAILE, JM .
ARTHRITIS AND RHEUMATISM, 1988, 31 (07) :817-825